DR. CLARK KEITH TAYLOR II DDS
NPI 1750947735
Dentist - Pediatric Dentistry in Bountiful, UT

Active since May 14, 2019PECOS Enrolled
535 MEDICAL DR, BOUNTIFUL, UT 84010(801) 292-2828 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2021, May 14, 2019 (2 updates tracked since 2019).

About Dr. Clark Keith Taylor Ii Dds NPPES

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

DR. CLARK KEITH TAYLOR II DDS (NPI 1750947735) is an individual pediatric dentistry provider in Bountiful, Utah, licensed in Utah (11488542-9923) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750947735
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CLARK KEITH TAYLOR IICredential: DDS
Location Address535 MEDICAL DRBountiful, UT 84010-4929
Mailing Address535 Medical DrBountiful, UT 84010-4929 · (801) 292-2828
Sole ProprietorNo
Enumeration DateMay 14, 2019
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
NPI 1750947735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in UT · 11488542-9923
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

535 MEDICAL DR, Bountiful, UT 84010

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)

Dr. Clark Keith Taylor Ii 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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 84010 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.41
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.03
  • Average New Patient Copayment $21.1
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.5

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.01
  • Minimum Established Patient Price $17.23
  • Maximum Established Patient Price $135.2
  • Average Established Patient Copayment $17
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.8

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750947735, enumerated as an "individual" on May 14, 2019.

The provider is located at 535 MEDICAL DR BOUNTIFUL, UT 84010 and the phone number is (801) 292-2828.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.