DR. BRENDA JEAN TAYLOR (NPI# 1114017662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114017662 |
| Entity Type | Individual |
| Full Name | DR. BRENDA JEAN TAYLOR |
| Credential | DMD |
| Practice Address |
701 West 111th Street Chicago IL 60628 |
| Mailing Address |
11139 S Halsted St Chicago IL 60628-3910 |
| Practice Telephone | 7739951234 |
| Practice Fax Number | 7739959796 |
| Mailing Telephone | 7739951234 |
| Mailing Fax Number | 7739959796 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019-023707 | IL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019023707 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200248120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919559 | Brenda Scott Taylor | Driver | 11306 Briarmont Rd Apt 230, North Chesterfield, VA 23235-3760 | 2020-07-08 |
| 1659819662 | Brenda Taylor | Pharmacist | 2850 Strauss Ter, Silver Spring, MD 20904-7147 | 2017-02-09 |
| 1588047682 | Brenda Irene Taylor | Licensed Practical Nurse | 45 Whites Rd, Zanesville, OH 43701-7789 | 2015-07-07 |
| 1194054536 | Brenda Taylor | Chiropractor | 1411 W El Camino Real Ste B, Mountain View, CA 94040-5101 | 2009-12-14 |
| 1457424558 | Brenda Taylor | Social Worker | 18 W 87th St, Apt 1a, New York, NY 10024-3554 | 2006-11-16 |
| 1285661850 | Brenda Taylor | Physical Therapist | 1025 East Broadway Suite 101, Tempe Sports Clinic, Tempe, AZ 85282 | 2006-06-27 |
| 1295736213 | Brenda L Taylor | Nurse Anesthetist, Certified Registered | 7858 Shrader Rd, Richmond, VA 23294-4222 | 2005-08-02 |
| 1437761517 | Brenda Gayle Taylor | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1174131007 | Brenda Sue Taylor | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-07-16 |
| 1477055234 | Brenda Belledean Taylor | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2018-03-07 |
| Street Address |
701 WEST 111TH STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.