Organization Active NPI

Dayton Area Amb Service

  • Basic Emergency Medical Technician
  • Dayton, PA
National Provider Identifier
1114900156
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
02186 Issued in PA
Legal business name
DAYTON AREA AMB SERVICE
Practice address
212 S State St
Dayton, PA 16222-5822
Phone
(814) 257-9911
Fax
(814) 257-9911
NPI assigned
Nov 23, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jonathan L Stockdale
Title
Manager
Phone
(814) 257-9911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 02186 PA
Basic Emergency Medical Technician 146N00000X 02186 PA Primary

Addresses

Primary practice location

212 S State St
Dayton, PA 16222-5822

Mailing address

212 S State St
Dayton, PA 16222-5822
Phone (814) 257-9911

Other identifiers 1

IdentifierTypeStateIssuer
0009117650004MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114900156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S STATE ST",
            "city": "DAYTON",
            "state": "PA",
            "postal_code": "162225822",
            "telephone_number": "814-257-9911",
            "fax_number": "814-257-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S STATE ST",
            "city": "DAYTON",
            "state": "PA",
            "postal_code": "162225822",
            "telephone_number": "814-257-9911",
            "fax_number": "814-257-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON AREA AMB SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STOCKDALE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-257-9911"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": "02186",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "02186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009117650004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.