Abraham O'Dare

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

43644 Arborview LN
Van Buren TWP, MI 48111-3347

Phone

(312) 775-2318

Fax

(855) 510-5554

NPI assigned

Jul 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1093377582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43644 ARBORVIEW LN",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113347",
            "telephone_number": "312-775-2318",
            "fax_number": "855-510-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43644 ARBORVIEW LN",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481113347",
            "telephone_number": "312-775-2318",
            "fax_number": "855-510-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DARE",
        "first_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "O623029027305",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Van Buren TWP, MI
• Providers in Van Buren TWP, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.