Dennis R Taylor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1697 Issued in IA

Practice address

714 S Grand Ave
Spencer, IA 51301-5730

Phone

(712) 262-3982

Fax

(712) 262-7831

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Iowa Eye Institute PC

  • Ambulatory Surgical Clinic/Center
  • Spencer, IA
  • NPI 1831198191
  NPD (past)
• Iowa Eye Institute, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Spencer, IA
  • NPI 1255330460
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437203031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 18TH AVE W",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012725",
            "telephone_number": "712-262-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S GRAND AVE",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015730",
            "telephone_number": "712-262-3982",
            "fax_number": "712-262-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162826",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16282",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "410008780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunshine Services Inc
• Jody Marie Surber, PA-C
• Russell Jon Sweet, HEARING AID SPECIALI
• Derek Swoboda, DPT, ATC
• John Benjamin Synhorst II, D.D.S
• Susan Terrell, ARNP
• There'S a Helping Hand LLC
• Thomas Physical Therapy Professionals LLC
• John Matthew Thomas, MPT
• Yelena Aleh Thomas, D.O.

• Optometrist in Spencer, IA
• Providers in Spencer, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.