Active NPI
Erol Selahattin Iscimenler, RDN, LD
- Registered Dietitian
- Sherman, TX
National Provider Identifier
1023732138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83707
- Practice address
- 500 N Highland Ave
Sherman, TX 75092-7354 - Phone
- (903) 870-2195
- Fax
- (903) 870-4639
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT83707 | TX | Primary |
| Registered Dietitian | 133V00000X | 770 | OK |
Addresses
Primary practice location
500 N Highland Ave
Sherman, TX 75092-7354
Mailing address
5004 Kimberly Rd
Durant, OK 74701-2090
Phone (580) 579-1469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770 | OK | MD | Registered Dietitian |
| DT83707 | TX | MD | Registered Dietitian |
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1023732138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5004 KIMBERLY RD",
"city": "DURANT",
"state": "OK",
"postal_code": "747012090",
"telephone_number": "580-579-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N HIGHLAND AVE",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927354",
"telephone_number": "903-870-2195",
"fax_number": "903-870-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISCIMENLER",
"first_name": "EROL",
"middle_name": "SELAHATTIN",
"name_prefix": "Mr.",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-03",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83707",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.