TAYLOR FUNK (NPI# 1386201614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386201614 |
| Entity Type | Individual |
| Full Name | TAYLOR FUNK |
| Practice Address |
5819 E Riverside Blvd # 21 Rockford IL 61114-4963 |
| Practice Telephone | 8152824311 |
| Mailing Telephone | 8152824311 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019032073 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801148119 | Taylor Funk | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2012-10-10 |
| Street Address |
5819 E RIVERSIDE BLVD # 21 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629393962 | Affordable Dentistry Today | Dentist | 5819 E Riverside Blvd # 21, Rockford, IL 61114-4963 | 2010-03-30 |
| 1558775122 | Patrick Mitsos | Dentist | 5819 E Riverside Blvd # 21, Rockford, IL 61114-4963 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| 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 |
|---|---|---|---|---|
| 1700495074 | Tiffany Kimmel | Dentist | 6085 9 Mile Rd Ne, Rockford, MI 49341-7747 | 2020-07-23 |
| 1174016893 | Above & Beyond Denistry, LLC | Dentist | 364 Financial Ct Ste A, Rockford, IL 61107-6668 | 2018-06-07 |
| 1396255097 | Edwin Gonzalez Montoya | Dentist | 6585 E State St, Rockford, IL 61108-2542 | 2017-10-07 |
| 1124557228 | Alex Moore | Dentist | 6050 Brynwood Dr Ste 205, Rockford, IL 61114-6579 | 2017-06-12 |
| 1245686096 | Adriana Carolina Padron | Dentist | 275 Bienterra Trl Apt 4, Rockford, IL 61107-5882 | 2016-05-11 |
| 1275946113 | Jeffrey Heinz | Dentist | 158 Marcell Dr Ne Ste A, Rockford, MI 49341-1393 | 2014-06-09 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1326390113 | Apex-northwestern Dental Group LLP | Dentist | 364 Financial Ct, Suite A, Rockford, IL 61107-6668 | 2012-10-04 |
| 1285951004 | Bogdan Robert Busan | Dentist | 4035 Morsay Dr Ste 1, Rockford, IL 61107-4875 | 2010-05-03 |
| 1689800021 | Scott Strickland Dds Pllc | Dentist | 380 E. Division St., Rockford, MI 49341 | 2009-05-29 |
| Find all providers in ROCKFORD | ||||
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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.