Individual provider Active NPI

Renee Seelhammer Taylor, D.D.S.

  • General Practice Dentistry
  • Baxter, MN
National Provider Identifier
1275607483
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10635 Issued in MN
Practice address
7674 Design Rd
Baxter, MN 56425-8439
Phone
(218) 828-4816
Fax
(218) 828-2095
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10635 MN Primary

Addresses

Primary practice location

7674 Design Rd
Baxter, MN 56425-8439

Mailing address

7674 Design Rd
Baxter, MN 56425-8439
Phone (218) 828-4816

Other names 1

  • Dr. Renee Taylor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20170407001710 MN Order and Referring Only - DentistPractitioner - Dentist 9931485877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Design Dentistry, LLC Past Accepting new patients
Tran-Lunning Dental PLLC PastSince Dec 5, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1275607483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7674 DESIGN RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258439",
            "telephone_number": "218-828-4816",
            "fax_number": "218-828-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7674 DESIGN RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258439",
            "telephone_number": "218-828-4816",
            "fax_number": "218-828-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELHAMMER TAYLOR",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "TAYLOR",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.