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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

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.