MR. DONALD DENNIS BETTIS (NPI# 1003152976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003152976 |
Entity Type | Individual |
Full Name | MR. DONALD DENNIS BETTIS |
Credential | BC-HIS |
Practice Address |
1221 W Spresser St Taylorville IL 62568-1714 |
Practice Telephone | 2178245210 |
Practice Fax Number | 2178245211 |
Mailing Telephone | 2178245210 |
Mailing Fax Number | 2178245211 |
Enumeration Date | 2012-12-21 |
Last Update Date | 2012-12-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | 1966 | IL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1221 W SPRESSER ST |
City | TAYLORVILLE |
State | IL |
Zip Code | 62568-1714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861829988 | Hear Well Hearing Care Centre | Hearing Aid Equipment | 1221 W Spresser St, Taylorville, IL 62568-1714 | 2013-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
Find all providers in zip 62568 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023634045 | Electrolysis By Kelly Inc | Specialist/Technologist, Other | 715 Lake St Ste 300, Oak Park, IL 60301-1412 | 2020-06-25 |
1295384337 | Stacey Gail Lucterhand | Specialist/Technologist, Other | 133 Ridge Rd, Highland Park, IL 60035-4338 | 2019-09-11 |
1740783117 | Ericka Nicole Curry | Specialist/Technologist, Other | 8635 S 87th Ave, Justice, IL 60458-2005 | 2018-03-13 |
1316462807 | Hrisanthi Zhupa | Specialist/Technologist, Other | 7253 W Touhy Ave, Chicago, IL 60631-4326 | 2017-08-07 |
1013442045 | Kyle Marcus Thorson | Specialist/Technologist, Other | 267 South Chestnut St, Apt 3, Chebanse, IL 60922 | 2017-04-27 |
1255866646 | Matthew Kovarik | Specialist/Technologist, Other | 221 3rd St, Libertyville, IL 60048-2303 | 2017-04-24 |
1275068660 | Marissa Nicole Maeder | Specialist/Technologist, Other | 205 S 6th St, Malta, IL 60150-9703 | 2017-04-24 |
1629503016 | Amber Beasley | Specialist/Technologist, Other | 2808 Grouse Ct, Rolling Meadows, IL 60008-2601 | 2017-04-24 |
1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
1982139374 | Nicholas Escondo | Specialist/Technologist, Other | 1407 Churchill Ln, Grayslake, IL 60030-3754 | 2017-04-24 |
Find all providers with the same taxonomy |
City | TAYLORVILLE |
Zip Code | 62568 |
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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.