Active NPI
Leighton Alonzo Moulton
- Developmentally Disabled Services Day Training Agency
- Dayton, OH
National Provider Identifier
1043992290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 5116 Malibu CT
Dayton, OH 45426-2353 - Phone
- (937) 853-7646
- NPI assigned
- Aug 7, 2023
- 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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
5116 Malibu CT
Dayton, OH 45426-2353
Mailing address
5116 Malibu CT
Dayton, OH 45426-2353
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": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1043992290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 MALIBU CT",
"city": "DAYTON",
"state": "OH",
"postal_code": "454262353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5116 MALIBU CT",
"city": "DAYTON",
"state": "OH",
"postal_code": "454262353",
"telephone_number": "937-853-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "LEIGHTON",
"middle_name": "ALONZO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.