David Merrick Taylor, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

23389 Issued in CA

Practice address

550 Deep Valley Dr
Suite 345
Rolling Hills Estates, CA 90274-3664

Phone

(310) 377-4551

Fax

(310) 541-6042

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jonathan Lo D.D.S., Inc.

  • Pediatric Dentistry
  • Rolling Hills Estates, CA
  • NPI 1992001200
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1962416859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR",
            "address_2": "SUITE 345",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743664",
            "telephone_number": "310-377-4551",
            "fax_number": "310-541-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR",
            "address_2": "SUITE 345",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743664",
            "telephone_number": "310-377-4551",
            "fax_number": "310-541-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAVID",
        "middle_name": "MERRICK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "23389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.