Active NPI
Colin William Taggart, DMD
- Dentist
- Hood River, OR
National Provider Identifier
1407216922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10601
- Practice address
- 849 Pacific Ave
Hood River, OR 97031-1956 - Phone
- (541) 386-6380
- Fax
- (541) 308-8370
- NPI assigned
- Feb 25, 2016
- Last updated
- Mar 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D10601 | OR | Primary |
Addresses
Primary practice location
849 Pacific Ave
Hood River, OR 97031-1956
Mailing address
849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500725360 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525001555 | NC | Order and Referring Only - Oral Surgery | 2264721620 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10601 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1407216922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 PACIFIC AVE",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311956",
"telephone_number": "541-386-6380",
"fax_number": "541-308-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 PACIFIC AVE",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311956",
"telephone_number": "541-386-6380",
"fax_number": "541-308-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "COLIN",
"middle_name": "WILLIAM",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500725360",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
- Elijah Summa, LMT
- Summit Family Medicine - LLC (Summit Family Medicine)
- Suzanne Sarmasti DC PC (ASULA Chiropractic)
- Joel Robert Swift, CRNA
- Christopher Allen Swisher, DDS
- Ramona Tamiyasu, L.AC.
- Mariel Louise Tasche, LMT, EP-C
- Guy Tauscher, BA, LMT
- David Verne Taylor, DMD
- Tend Physical Therapy and Pelvic Rehab LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.