Heather Danielle Taylor, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019030243 Issued in IL

Practice address

1170 Belt Line Rd
Collinsville, IL 62234-4372

Phone

(618) 345-1400

Fax

(618) 344-1401

NPI assigned

Jul 29, 2015

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signature Family Dental

  • Dentist
  • Collinsville, IL
  • NPI 1306401591
  NPD
• David P Maier DMD PC

  • Dental Clinic/Center
  • Collinsville, IL
  • NPI 1215147970
  NPD (past)
• Kellerman Dental

  • Dentist
  • Glen Carbon, IL
  • NPI 1215102579
  NPD (past)
• Kellerman Dental Group, PC

  dba Kellerman Cosmetic and Family Dentistry

  • Customized Equipment (DME)
  • Glen Carbon, IL
  • NPI 1538543582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1003291162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BELT LINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344372",
            "telephone_number": "618-345-1400",
            "fax_number": "618-344-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BELT LINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344372",
            "telephone_number": "618-345-1400",
            "fax_number": "618-344-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "HEATHER",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn S Swain, R.N.
• Jeffrey Scott Swank, DPT
• Patrick Joseph Swierczek, LCSW
• Shawna R Swinigan, PA-C
• Tauc Il, PC (Total Access Urgent Care)
• Tend2U LLC (Right at Home SW IL)
• Natalie Thacker
• The Pediatric Clinic for Behavioral Health, PLLC
• April Thomas
• Amy Lynn Thompson, COTA/L, M.S CF-SLP

• Dentist in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.