Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114017662 Individual Practitioner Female Practitioner

Dr. Brenda Jean Taylor , DMD

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brenda Taylor, DMD is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 701 WEST 111TH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 West 111th Street

Chicago, IL 60628

Telephone 7739951234
Fax 7739959796
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019023707

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019-023707

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200248120 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Cornelius Knowles , DDS

Dentist - General Practice

NPI 1538387493

Doctor of Dental Surgery

Dr. Lewis Baskins , DDS

Dentist - General Practice

NPI 1831317700

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2020

Dentist (License #019-023707 in IL)

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2016

Registered at 701 WEST 111TH STREET, CHICAGO, IL 60628 (Tel: 7739951234)

📍
Updated Business Mailing Address September 08, 2016

Registered at 11139 S HALSTED ST, CHICAGO, IL 606283910 (Tel: 7739951234)

👤
Provider Name / Credentials Updated September 08, 2016

Recorded as BRENDA TAYLOR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Dentist (License #019023707 in IL)

🟢
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114017662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: April 30, 2021
Sole Proprietor: Yes

Mailing Address

11139 S Halsted St

Chicago, IL 606283910

Phone: 7739951234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.