David W Sydow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

101 S Rose Street
Elmwood, IL 61529-0718

Phone

(309) 742-2071

Fax

(309) 742-8384

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Associates in Dentistry

  • Dentist
  • Elmwood, IL
  • NPI 1346322070
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508948225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 WOODFERN PLACE",
            "city": "BRIMFIELD",
            "state": "IL",
            "postal_code": "615179406",
            "telephone_number": "309-446-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S ROSE STREET",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615290718",
            "telephone_number": "309-742-2071",
            "fax_number": "309-742-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDOW",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• More Than Milk, LLC
• Jacob M Osmulski, DC
• Nathalie Snider, FNP-C
• Danielle Marie Stroemer
• Victoria D Styninger, PA
• Catherine Lynn Windish, R.PH.
• Jenell Renae Wood, PHARMD

• General Practice Dentistry in Elmwood, IL
• Providers in Elmwood, IL by specialty
• General Practice Dentistry in Illinois

• 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.