Active NPI
Dave Ritter
- Other Technician
- Decatur, IL
National Provider Identifier
1033215843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 144 E Leafland Ave
Decatur, IL 62521-1020 - Phone
- (217) 423-4466
- Fax
- (217) 423-9461
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | IL | Primary |
Addresses
Primary practice location
144 E Leafland Ave
Decatur, IL 62521-1020
Mailing address
135 W Main St
Mt Zion, IL 62549-1543
Phone (217) 423-4466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049-076855 | IL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033215843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W MAIN ST",
"city": "MT ZION",
"state": "IL",
"postal_code": "625491543",
"telephone_number": "217-423-4466",
"fax_number": "217-423-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 E LEAFLAND AVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "625211020",
"telephone_number": "217-423-4466",
"fax_number": "217-423-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "DAVE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.