Individual provider Active NPI

David Virgil Oxner Jr., CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1083247415
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
170574 Issued in OH
Practice address
2822 Upton Ave
Toledo, OH 43606-3959
Phone
(419) 737-6021
NPI assigned
Feb 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 170574 OH Primary

Addresses

Primary practice location

2822 Upton Ave
Toledo, OH 43606-3959

Mailing address

2822 Upton Ave
Toledo, OH 43606-3959
Phone (419) 737-6021

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

LicenseStateTypeSpecialty
170574OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1083247415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 UPTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063959",
            "telephone_number": "419-737-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 UPTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063959",
            "telephone_number": "419-737-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXNER",
        "first_name": "DAVID",
        "middle_name": "VIRGIL",
        "name_suffix": "Jr.",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "170574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.