Active NPI
Keith D Taylor
- Hearing Instrument Specialist
- Dekalb, IL
National Provider Identifier
1033343926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1709
- Practice address
- 1712 Sycamore Rd
Dekalb, IL 60115-2037 - Phone
- (815) 758-0157
- Fax
- (815) 758-0375
- NPI assigned
- May 7, 2009
- Last updated
- Dec 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1709 | IL | Primary |
Addresses
Primary practice location
1712 Sycamore Rd
Dekalb, IL 60115-2037
Mailing address
261 Larsdotter LN
Geneva, IL 60134-4499
Phone (847) 894-0709
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1709 | IL | MD | Kinesiotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Hearing | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
1712 Sycamore Rd
DeKalb, IL 60115
Phone (815) 758-0157
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1033343926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 LARSDOTTER LN",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344499",
"telephone_number": "847-894-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 SYCAMORE RD",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152037",
"telephone_number": "815-758-0157",
"fax_number": "815-758-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KEITH",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "1709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.