Active NPI
David Anderson
- Personal Care Attendant
- Toledo, OH
National Provider Identifier
1104369669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- RM543368
- Practice address
- 800 Division St
#400
Toledo, OH 43604-8431 - Phone
- (419) 283-5508
- NPI assigned
- Nov 30, 2016
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | RM543368 | OH | Primary |
Addresses
Primary practice location
800 Division St
#400
Toledo, OH 43604-8431
Mailing address
621 Falcon Rd
Toledo, OH 43607-3510
Phone (419) 283-5508
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
| License | State | Type | Specialty |
|---|---|---|---|
| RM543368 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1104369669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 FALCON RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436073510",
"telephone_number": "419-283-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 DIVISION ST",
"address_2": "#400",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436048431",
"telephone_number": "419-283-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-30",
"last_updated": "2022-03-09",
"certification_date": "2022-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "RM543368",
"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 Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.