TAYLOR KEENEY (NPI# 1861059586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861059586 |
| Entity Type | Individual |
| Full Name | TAYLOR KEENEY |
| Credential | DDS |
| Practice Address |
4015 Hurst Dr Waterloo IA 50701-9035 |
| Practice Telephone | 3192240847 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 09643 | IA | Dental Providers |
| Street Address |
4015 HURST DR |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-9035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659753069 | Hannah Rose Leuschen | Dentist | 4015 Hurst Dr, Waterloo, IA 50701-9035 | 2015-06-22 |
| 1174060883 | Kimball & Beecher Cedar Rapids, Pllc | Dentist | 4015 Hurst Dr, Waterloo, IA 50701-9035 | 2017-01-20 |
| 1992157846 | Nicole Diana Del Carpio | Dentist | 4015 Hurst Dr, Waterloo, IA 50701-9035 | 2016-07-04 |
| 1811348428 | Katie Arp | Dentist | 4015 Hurst Dr, Waterloo, IA 50701-9035 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699102954 | Graham L Beard | Dentist | 208 Bradford Ln, Waterloo, IL 62298-3267 | 2013-10-02 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1801052915 | Benjamin Robert Peterson | Dentist | 424 South St., Waterloo, IA 50701 | 2008-07-29 |
| 1487876710 | Paymun Bayati | Dentist | 1022 West 5th St, Waterloo, IA 50702 | 2007-05-03 |
| 1730309949 | Rene Ann Dutkowski Ludens | Dentist | 208 Olympic Dr., Waterloo, IA 50701-5240 | 2007-04-27 |
| 1063575769 | Louis E Montgomery | Dentist | 1010 E Mitchell Ave, Off #3, Waterloo, IA 50702-3300 | 2006-12-18 |
| 1053472902 | James Robert Nelson | Dentist | 239 East San Marnan Dr, Waterloo, IA 50702 | 2006-12-13 |
| 1700977691 | Thomas G Friedman | Dentist | 1047 Thorndale Ave, Waterloo, IA 50701 | 2006-09-27 |
| 1407831746 | Carol Halloran | Dentist | 1950 Plymouth Ave, Waterloo, IA 50702-3524 | 2005-12-09 |
| 1760094668 | Pavneet Momi | Dentist | 2765 Crossroads Blvd, Waterloo, IA 50702-4409 | 2020-08-20 |
| Find all providers in WATERLOO | ||||
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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.