Individual provider Active NPI

Adam Dengler, RD, LD

  • Registered Dietitian
  • Sandusky, OH
National Provider Identifier
1063922797
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86099030
Practice address
1221 Hayes Ave Ste B
Sandusky, OH 44870-3345
Phone
(717) 304-2358
NPI assigned
Oct 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86099030 Primary

Addresses

Primary practice location

1221 Hayes Ave Ste B
Sandusky, OH 44870-3345

Mailing address

1221 Hayes Ave Ste B
Sandusky, OH 44870-3345

Other practice location 1

1538 Oakwood Dr
Cleveland Heights, OH 44121-1708
Phone (717) 304-2358

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: adengler43763@ehrdirect.uhhospitals.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1063922797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE STE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE STE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345",
            "telephone_number": "717-304-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1538 Oakwood Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441211708",
            "country_code": "US",
            "telephone_number": "717-304-2358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENGLER",
        "first_name": "ADAM",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86099030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.