NPIMap

Organization Active NPI

Daniel L Tallerico MD Inc

  • Obstetrics & Gynecology Physician
  • Edmond, OK
National Provider Identifier
1316097108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10585 Issued in OK
Legal business name
DANIEL L TALLERICO MD INC
Practice address
3863 S Boulevard St
Suite 100
Edmond, OK 73013-5519
Phone
(405) 471-6249
Fax
(405) 471-6255
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Tallerico, MDNPI 1568443638
Title
Doctor
Phone
(405) 471-6249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 10585 OK Primary

Addresses

Primary practice location

3863 S Boulevard St
Suite 100
Edmond, OK 73013-5519

Mailing address

3863 S Boulevard
Suite 100
Edmond, OK 73013
Phone (405) 471-6249

National Provider Directory

National Provider Directory

Locations

3863 S Boulevard
Ste 100
Edmond, OK 73013
Phone (405) 471-6249

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316097108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 S BOULEVARD",
            "address_2": "SUITE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-471-6249",
            "fax_number": "405-471-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 S BOULEVARD ST",
            "address_2": "SUITE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135519",
            "telephone_number": "405-471-6249",
            "fax_number": "405-471-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL L TALLERICO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALLERICO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-471-6249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "10585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.