Roy M Taylor Associates

Primary specialty

DentistTaxonomy code 122300000X

License

PA023171L Issued in PA

Legal business name

ROY M TAYLOR ASSOCIATES

Practice address

5811 Cobb Creek Parkway
Philadelphia, PA 19143-3035

Phone

(215) 474-8415

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wayne Marcellus Taylor, DDS

Title

Vice President

Phone

(215) 474-8415

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942380407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 COBB CREEK PARKWAY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 COBB CREEK PARKWAY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433035",
            "telephone_number": "215-474-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY M TAYLOR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MARCELLUS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-474-8415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "PA023171L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.