Active NPI
Dash Medical LLC
- Internal Medicine Physician
- Yuma, AZ
National Provider Identifier
1043764566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46979
- Legal business name
- DASH MEDICAL LLC
- Practice address
- 2400 S Avenue a
Yuma, AZ 85364-7127 - Phone
- (928) 317-9100
- Fax
- (928) 317-9300
- NPI assigned
- Aug 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter B Dashkoff, MD
- Title
- Member
- Phone
- (928) 317-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46979 | AZ | Primary |
Addresses
Primary practice location
2400 S Avenue a
Yuma, AZ 85364-7127
Mailing address
PO Box 5124
Yuma, AZ 85366-2456
Phone (928) 317-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161130002259 | AZ | Part B Supplier - Clinic/Group Practice | 6709166119 |
Receives reassigned benefits from 8 practitioners Practice locations: Yuma, AZ |
National Provider Directory
National Provider DirectoryLocations
2450 S 19th Ave
Yuma, AZ 85364
Phone (928) 344-0425
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Yuma, AZ
- NPI 1073915633
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470960000000",
"number": "1043764566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5124",
"city": "YUMA",
"state": "AZ",
"postal_code": "853662456",
"telephone_number": "928-317-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-317-9100",
"fax_number": "928-317-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DASH MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A",
"authorized_official_last_name": "DASHKOFF",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "928-317-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "46979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.