Active NPI
Dante Mackell Jr
- Behavior Technician
- Greenville, NC
National Provider Identifier
1023889615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 118 Oakmont Dr
Greenville, NC 27858-5936 - Phone
- (855) 223-7123
- NPI assigned
- Jan 11, 2024
- Last updated
- Jan 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
118 Oakmont Dr
Greenville, NC 27858-5936
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1023889615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 OAKMONT DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585936",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKELL JR",
"first_name": "DANTE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
- Kenneth G Macdonald Jr., MD
- Emily Katherine Macgillis, CRNA
- Scott S Macgilvray, MD
- Macgregor Downs Health Center by Harborview, LLC (MacGregor Downs Health Center by Harborview)
- Ashley Mack
- Matthew Jeffrey Mackey, MD
- Robert Neal Maclennan, CRNA
- David George Macpherson, DDS
- Veeranna Maddipati, M.D.,M.B:B.S
- La'Chom Madison
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.