MCKENZIE CAROLINE TAYLOR
NPI 1134879331
Dentist in Philadelphia, PA

Active since March 28, 2022PECOS Enrolled
1500 JOHN F KENNEDY BLVD STE 1906, PHILADELPHIA, PA 19102(215) 709-0001 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2023, Feb 9, 2023 (2 updates tracked since 2023).

About Mckenzie Caroline Taylor NPPES

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

MCKENZIE CAROLINE TAYLOR (NPI 1134879331) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS043955) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scranton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134879331
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMCKENZIE CAROLINE TAYLOR
Location Address1500 JOHN F KENNEDY BLVD STE 1906Philadelphia, PA 19102-1714
Mailing Address3436 Ashville StPhiladelphia, PA 19136-3020 · (609) 579-0196
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
NPI 1134879331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in PA · DS043955
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.
1500 JOHN F KENNEDY BLVD STE 1906, Philadelphia, PA 19102

Secondary Practice Location 1

Location 1501 S Washington AveScranton, PA 18505-3814 · Phone (570) 941-0630

Accepted 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)

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

PECOS PAC ID1658873674
PECOS Enrollment IDI20250908002543
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 19102 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 16

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

Dentist (General Practice)
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102
Dentist (General Practice)
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102
Dentist
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102
Dentist (General Practice)
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102
Dentist
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102
Dentist
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102
Dentist
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102
Dentist
1500 JOHN F KENNEDY BLVD STE 1906
PHILADELPHIA, PA 19102

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 Mckenzie Taylor's NPI number?

The NPI number for Mckenzie Taylor is 1134879331. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Mckenzie Taylor located?

Mckenzie Taylor practices at 1500 John F Kennedy Blvd Ste 1906, Philadelphia, PA 19102. The listed phone number is (215) 709-0001.

What is Mckenzie Taylor's specialty?

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

Is Mckenzie Taylor enrolled in Medicare?

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

What insurance does Mckenzie Taylor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Mckenzie 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 Mckenzie Taylor was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.