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DR. JEREMIAH TAYLOR DDS
NPI 1366897183
Dentist - General Practice in Kilgore, TX

Active since April 29, 2016PECOS Enrolled
3210 STONE RD STE A, KILGORE, TX 75662(903) 984-8556(903) 984-8586 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeremiah Taylor Dds NPPES

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

DR. JEREMIAH TAYLOR DDS (NPI 1366897183) is an individual general practice provider in Kilgore, Texas, licensed in Texas (37914) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366897183
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEREMIAH TAYLORCredential: DDS
Location Address3210 STONE RD STE AKilgore, TX 75662-2966
Mailing Address3210 Stone Rd Ste AKilgore, TX 75662-2966 · (903) 984-8556 · Fax (903) 984-8586
Phone(903) 984-8556
Fax(903) 984-8586
Sole ProprietorYes
Enumeration DateApril 29, 2016
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1366897183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 37914
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.
3210 STONE RD STE A, Kilgore, TX 75662
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremiah 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.

Medicare Billing Reassignment

Medicare enrollment records show Jeremiah Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Longview Wellness Center, Inc
1.7 mi
Federally Qualified Health Center (FQHC)
1711 S HENDERSON BLVD STE 400
Kilgore, TX 75662
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
NPI 1982837829 (903) 758-2610

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75662 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

TAYLORMADE DENTAL & IMPLANT CENTER, LLC
Dentist (General Practice)
3210 STONE RD STE A
KILGORE, TX 75662
Gregg County (903) 738-1393

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 Jeremiah Taylor's NPI number?

The NPI number for Jeremiah Taylor is 1366897183. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Jeremiah Taylor located?

Jeremiah Taylor practices at 3210 Stone Rd Ste A, Kilgore, TX 75662. The listed phone number is (903) 984-8556.

What is Jeremiah Taylor's specialty?

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

Is Jeremiah Taylor enrolled in Medicare?

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

Which organization bills Medicare for Jeremiah Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Taylor reassigns Medicare benefits to Longview Wellness Center, Inc (Kilgore, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremiah Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremiah Taylor accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 6 other insurers list Jeremiah 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 Jeremiah Taylor was last updated on October 18, 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.