Taylor Patrick Terveer

Primary specialty

DentistTaxonomy code 122300000X

License

12012505A Issued in IN

Practice address

6496 N Piqua Rd
Decatur, IN 46733-9434

Phone

(260) 724-8746

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IN

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

Practice roles

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.

• Decatur Dental Services, Inc.

  • Dentist
  • Decatur, IN
  • NPI 1124163563
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1093163891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6496 N PIQUA RD",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467339434",
            "telephone_number": "260-724-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6496 N PIQUA RD",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467339434",
            "telephone_number": "260-724-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERVEER",
        "first_name": "TAYLOR",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Stucky, LCSW
• Darvin Keith Suter
• Brittany Taritas, MSW
• Blake A Taylor, DDS
• Jennifer Elizabeth Taylor, DO
• Roger L Thompson
• Isabella Lorraine Thornsberry
• Three Roads Therapy LLC
• Kelly S Ulman, DDS
• Sabra Ann Vanauken

• Dentist in Decatur, IN
• Providers in Decatur, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.