Active NPI
Urbano A Dauz, MD
- General Practice Physician
- Shelbyville, IL
National Provider Identifier
1962435669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 3652301
- Practice address
- 207 South Pine
Suite 6
Shelbyville, IL 62565 - Phone
- (217) 774-5508
- Fax
- (217) 774-2672
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 3652301 | 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 |
|---|---|---|---|
| 387752 | Other | HEALTH LINK | |
| 036052301 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3652301 | IL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1962435669",
"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": {
"last_name": "DAUZ",
"first_name": "URBANO",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "3652301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "387752",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036052301",
"state": "IL"
}
],
"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 Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.