Active NPI
Tim Ryan Zona
- Taxi
- Clarinda, IA
National Provider Identifier
1063906485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- Practice address
- 121 S 15TH St Ste B
Clarinda, IA 51632-2245 - Phone
- (712) 454-0514
- NPI assigned
- Jun 19, 2018
- Last updated
- Jun 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | NU | Primary | |
| Transportation Broker | 347E00000X | NU |
Addresses
Primary practice location
121 S 15TH St Ste B
Clarinda, IA 51632-2245
Mailing address
121 S 15TH St Ste B
Clarinda, IA 51632-2245
Phone (712) 454-0514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04774109 | Medicaid | NY |
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": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1063906485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S 15TH ST STE B",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322245",
"telephone_number": "712-454-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S 15TH ST STE B",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322245",
"telephone_number": "712-454-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZONA",
"first_name": "TIM",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04774109",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarinda, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.