Individual provider Active NPI

Kenneth Wayne Collier Jr.

  • Paramedic
  • Dayton, OH
National Provider Identifier
1134808272
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
114336 Issued in OH
Practice address
2554 Needmore Rd # C2
Dayton, OH 45414-4204
Phone
(937) 672-0894
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 114336 OH Primary

Addresses

Primary practice location

2554 Needmore Rd # C2
Dayton, OH 45414-4204

Mailing address

PO Box 13353
Dayton, OH 45413-0353
Phone (937) 672-0894

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
114336OHMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Network 24, LLC Current Accepting new patients
Mobilenetwork24-Com Inc Current Accepting new patients
Mobilenetwork24.Com, LLC CurrentSince Jul 23, 2023 Accepting new patients

Locations

2554 Needmore Rd
#C2
Dayton, OH 45414
Phone (937) 672-0894

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1134808272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13353",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454130353",
            "telephone_number": "937-672-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 NEEDMORE RD # C2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144204",
            "telephone_number": "937-672-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OH",
            "license": "114336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.