Eric Taibl, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6417 Issued in WI

Practice address

2727 N Grandview Blvd
Waukesha, WI 53188-6100

Phone

(262) 542-6755

NPI assigned

Jul 15, 2009

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

Other names 1

• Eric W Taibl Other name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1962632778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886100",
            "telephone_number": "262-542-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886100",
            "telephone_number": "262-542-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIBL",
        "first_name": "ERIC",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "TAIBL",
            "middle_name": "W",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wilfred Szerenyi, M.D.
• John Szivecz, MPT
• Petrina A Sznaider, LPN
• Thomas Albert Sznaider, M.S.
• Andrew James Szymanski, M.D.
• Tanty Family Dental
• Lynn M Tasche, RN
• Samuel Taubenheim
• Marilyn Tauscher, LCSW
• Christa Deann Taylor, RDH

• All providers in Waukesha, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.