Taylor Geyman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4848 Issued in ID

Practice address

6503 Harrison St
Bonners Ferry, ID 83805-8619

Phone

(208) 267-0203

Fax

(208) 943-3161

NPI assigned

Jun 12, 2017

Last updated

Oct 20, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• North Idaho Family Dentistry

  • Dental Clinic/Center
  • Bonners Ferry, ID
  • NPI 1295295152
  NPD (past) Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1093245177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 HARRISON ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058619",
            "telephone_number": "208-267-0203",
            "fax_number": "208-943-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 HARRISON ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058619",
            "telephone_number": "208-267-0203",
            "fax_number": "208-943-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5853 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Bonners Ferry",
            "state": "ID",
            "postal_code": "838055144",
            "country_code": "US",
            "telephone_number": "208-267-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEYMAN",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana R Fox, HIS
• John Friesen, M.D.
• Angela Pearl Plaida Fusco, PHARMD
• Jennifer F Garwick, M.D.
• Jeremy Gau
• Troy W Geyman, M.D.
• Gina M. Beck, LCSW PLLC
• Kenton Bing-Hock Goh, MD
• Ryan James Gorman, DNP, NP-C
• Kari L Gors, LMSW

• General Practice Dentistry in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.