Active NPI
Ayonna Niechelle Taylor, D.D.S.
- General Practice Dentistry
- Inglewood, CA
National Provider Identifier
1992819593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47189
- Practice address
- 645 Aerick St
Inglewood, CA 90301-4881 - Phone
- (323) 678-4779
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47189 | CA | Primary |
Addresses
Primary practice location
645 Aerick St
Inglewood, CA 90301-4881
Mailing address
645 Aerick St Ste 3
Inglewood, CA 90301-4884
Phone (323) 678-4779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93150-01 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1992819593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 AERICK ST STE 3",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014884",
"telephone_number": "323-678-4779",
"fax_number": "310-677-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 AERICK ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014881",
"telephone_number": "323-678-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "AYONNA",
"middle_name": "NIECHELLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G93150-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.