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OLIVER TAYLOR DDS
NPI 1154179455
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 10, 2024PECOS Enrolled
875 UNION AVE, MEMPHIS, TN 38103(901) 448-6200 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oliver Taylor Dds NPPES

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

OLIVER TAYLOR DDS (NPI 1154179455) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154179455
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOLIVER TAYLORCredential: DDS
Location Address875 UNION AVEMemphis, TN 38103-3513
Mailing Address806 Taylor StBristol, TN 37620-2550 · (423) 956-9593
Phone(901) 448-6200
Sole ProprietorNo
Enumeration DateMay 10, 2024
NPPES CertifiedMay 10, 2024
✔ NPI 1154179455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
875 UNION AVE, Memphis, TN 38103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oliver Taylor Dds 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.

Other Providers at the Same Location NPPES 20

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

KIESHA DAWN WERLITZ RDH, MS
Dental Hygienist
875 UNION AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6468
DR. HADLEY SCHREINER DDS
Student in an Organized Health Care Education/Training Program
875 UNION AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6210
JENNIFER STEWART BLAKELY LOU DDS
Dentist (Pediatric Dentistry)
875 UNION AVE, DEPARTMENT OF PEDIATRIC DENTISTRY
MEMPHIS, TN 38103
Shelby County (901) 448-6260
DR. JENNIFER FERNANDEZ D.M.D.
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6240
UNIVERSITY OF TENNESSEE
Clinic/Center (Oral and Maxillofacial Surgery)
875 UNION AVE, ROOM C209
MEMPHIS, TN 38103
Shelby County (901) 448-6267
ELIZABETH ANN ROGERS
Student in an Organized Health Care Education/Training Program
875 UNION AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6468
DR. DONALD KENT MAUNEY III DDS
Dentist (Endodontics)
875 UNION AVE
MEMPHIS, TN 38103
Shelby County (901) 448-3636
DR. JAMES CARLTON RAGAIN JR. DDS, MS, PHD
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6270

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 Oliver Taylor's NPI number?

The NPI number for Oliver Taylor is 1154179455. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Oliver Taylor located?

Oliver Taylor practices at 875 Union Ave, Memphis, TN 38103. The listed phone number is (901) 448-6200.

What is Oliver Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Oliver Taylor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Oliver Taylor was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.