NPIMap

Individual provider Active NPI

Taylor Allen Kneip, OD

  • Optometrist
  • Brookings, SD
National Provider Identifier
1447818562
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
754 Issued in SD
Practice address
2311 Yorkshire Dr
Brookings, SD 57006-2446
Phone
(605) 696-8870
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X SD
Optometrist 152W00000X 754 SD Primary

Addresses

Primary practice location

2311 Yorkshire Dr
Brookings, SD 57006-2446

Mailing address

2311 Yorkshire Dr
Brookings, SD 57006-2446
Phone (605) 696-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906001763 SD Practitioner - Optometry 0648509232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Practice addresses (Care Compare)

2311 Yorkshire Dr
Suite 2
Brookings, SD 57006-2446
Phone (605) 697-7336

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Brookings CurrentSince Jul 1, 2019 Accepting new patients
City of Brookings Current Accepting new patients
City of Brookings CurrentSince Jul 1, 2019 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

2311 Yorkshire Dr
Brookings, SD 57006
Phone (605) 692-7315

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1447818562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 YORKSHIRE DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062446",
            "telephone_number": "605-696-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 YORKSHIRE DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062446",
            "telephone_number": "605-696-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIP",
        "first_name": "TAYLOR",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.