Mark Taylor D.M.D P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015192 Issued in MO

Legal business name

MARK TAYLOR D.M.D P.C.

Practice address

610 N Geyer Rd
Kirkwood, MO 63122-2756

Phone

(314) 965-4064

NPI assigned

May 1, 2007

Last updated

Feb 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edward Taylor, D.M.D.NPI 1245617943

Title

Dentist

Phone

(314) 965-4064

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Taylor, DMD

  • General Practice Dentistry
  • Kirkwood, MO
  • NPI 1245617943
  NPD (past) Authorized official
• Abby R Hailand, DDS

  • Dentist
  • Kirkwood, MO
  • NPI 1033696943
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1972724383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N GEYER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222756",
            "telephone_number": "314-965-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GEYER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222756",
            "telephone_number": "314-965-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TAYLOR D.M.D P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-965-4064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manor Grove, Inc.
• Stacy Elizabeth Mansker, MA, LPC
• Julian Marasigan, PLPC
• Devin Eleanor Maret, RBT
• Maria D Sabio, MD, PC (Allergy and Asthma Healthcare)
• Brandon Adriel Martin, PHARM D
• Matthew Marx, RPH
• Mary Jane Lane LMFT LLC
• Dylan Mason, PROVISIONAL BCABA
• Katherine Mason, LMSW

• General Practice Dentistry in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.