DR. BRENDA JEAN TAYLOR DMD
NPI 1114017662
Dentist - General Practice in Chicago, IL

Q: What is Brenda Taylor's NPI number?

The NPI number for Brenda Taylor is 1114017662. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Brenda Taylor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Taylor was last updated on April 30, 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.

Active since October 13, 2006PECOS Enrolled

701 WEST 111TH STREET, CHICAGO, IL 60628(773) 995-1234(773) 995-9796 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2021, Sep 28, 2020 (2 updates tracked since 2020).

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About Dr. Brenda Jean Taylor Dmd NPPES

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

DR. BRENDA JEAN TAYLOR DMD (NPI 1114017662) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019023707) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114017662

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRENDA JEAN TAYLORCredential: DMD

Location Address701 WEST 111TH STREETChicago, IL 60628

Mailing Address11139 S Halsted StChicago, IL 60628-3910 · (773) 995-1234 · Fax (773) 995-9796

Phone(773) 995-1234

Fax(773) 995-9796

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateApril 30, 20212 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1114017662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019023707

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 019-023707 (IL)

701 WEST 111TH STREET, Chicago, IL 60628

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Other Identifiers 1

Medicaid200248120IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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)

Dr. Brenda Jean Taylor Dmd 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 60628 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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 Brenda Taylor's NPI number?

The NPI number for Brenda Taylor is 1114017662. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Brenda Taylor located?

Brenda Taylor practices at 701 West 111th Street, Chicago, IL 60628. The listed phone number is (773) 995-1234.

What is Brenda Taylor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brenda Taylor enrolled in Medicare?

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

What insurance does Brenda Taylor accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Brenda 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 Brenda Taylor was last updated on April 30, 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.