Active NPI
Dauz & Dauz MDS SC
- General Practice Physician
- Shelbyville, IL
National Provider Identifier
1679587463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DAUZ & DAUZ MDS SC
- Practice address
- 207 South Pine
Suite 6
Shelbyville, IL 62565 - Phone
- (217) 774-5508
- Fax
- (217) 774-2672
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Urbano A Dauz, MD
- Title
- President
- Phone
- (217) 774-5508
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | IL | ||
| General Practice Physician | 208D00000X | IL | Primary |
Addresses
Primary practice location
207 South Pine
Suite 6
Shelbyville, IL 62565
Mailing address
207 South Pine
Suite 6
Shelbyville, IL 62565
Phone (217) 774-5508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D0709413 | Other | CIA | |
| 7290D | Other | CLIA |
National Provider Directory
National Provider DirectoryLocations
207 S Pine St
Ste 6
Shelbyville, IL 62565
Phone (217) 774-5508
207 S Pine St
Ste A
Shelbyville, IL 62565
Phone (217) 774-5508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Shelbyville, IL
- NPI 1063445765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1679587463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 SOUTH PINE",
"address_2": "SUITE 6",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "62565",
"telephone_number": "217-774-5508",
"fax_number": "217-774-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 SOUTH PINE",
"address_2": "SUITE 6",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "62565",
"telephone_number": "217-774-5508",
"fax_number": "217-774-2672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAUZ & DAUZ MDS SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DAUZ",
"authorized_official_first_name": "URBANO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "217-774-5508",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIA",
"identifier": "14D0709413",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "7290D",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.