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WHITLEY JORDAN TAYLOR
NPI 1063865392
Dentist in Spartanburg, SC

Active since July 21, 2016PECOS Enrolled
1450 W O EZELL BLVD STE 800, SPARTANBURG, SC 29301(864) 203-0100(864) 203-0102 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 7, 2021, Sep 3, 2016 (2 updates tracked since 2016).

About Whitley Jordan Taylor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITLEY JORDAN TAYLOR (NPI 1063865392) is an individual dentist in Spartanburg, South Carolina, licensed in South Carolina (8753) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063865392
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameWHITLEY JORDAN TAYLOR
Location Address1450 W O EZELL BLVD STE 800Spartanburg, SC 29301-1503
Mailing Address1450 W O Ezell Blvd Ste 800Spartanburg, SC 29301-1503 · (864) 203-0100 · Fax (864) 203-0102
Phone(864) 203-0100
Fax(864) 203-0102
Sole ProprietorNo
Enumeration DateJuly 21, 2016
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1063865392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 8753
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1450 W O EZELL BLVD STE 800, Spartanburg, SC 29301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitley Jordan Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFFORDABLE DENTURES & IMPLANTS - SPARTANBURG, P.C.
Dentist (General Practice)
1450 W O EZELL BLVD STE 800
SPARTANBURG, SC 29301
Spartanburg County (864) 203-0100
AFFORDABLE DENTURES & IMPLANTS - SOUTH CAROLINA, LLC
Dentist
1450 W O EZELL BLVD STE 800
SPARTANBURG, SC 29301
Spartanburg County (864) 203-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitley Taylor's NPI number?

The NPI number for Whitley Taylor is 1063865392. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Whitley Taylor located?

Whitley Taylor practices at 1450 W O Ezell Blvd Ste 800, Spartanburg, SC 29301. The listed phone number is (864) 203-0100.

What is Whitley Taylor's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Whitley Taylor enrolled in Medicare?

Yes. Whitley Taylor is registered in the Medicare PECOS enrollment system.

What insurance does Whitley Taylor accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Whitley Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Whitley Taylor was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.