Active NPI
Abdullahi Dubad
- Driver
- Columbus, OH
National Provider Identifier
1114575693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- UB141850
- Practice address
- 2181 Morse Rd Unit B7
Columbus, OH 43229-5800 - Phone
- (614) 966-0073
- Fax
- (614) 573-6325
- NPI assigned
- Aug 28, 2019
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | UB141850 | OH | Primary |
Addresses
Primary practice location
2181 Morse Rd Unit B7
Columbus, OH 43229-5800
Mailing address
2181 Morse Rd Unit B7
Columbus, OH 43229-5800
Phone (614) 966-0073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-2870484 | Medicaid | OH |
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 |
|---|---|---|---|
| UB141850 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1114575693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2181 MORSE RD UNIT B7",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432295800",
"telephone_number": "614-966-0073",
"fax_number": "614-573-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2181 MORSE RD UNIT B7",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432295800",
"telephone_number": "614-966-0073",
"fax_number": "614-573-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBAD",
"first_name": "ABDULLAHI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "OH",
"license": "UB141850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84-2870484",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.