Individual provider Active NPI

Jeremy Triesler, JD(C), MALS, BSCJ

  • Taxi
  • Orrville, OH
National Provider Identifier
1134900202
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
94057667 Issued in OH
Practice address
9318 Lincoln Way E
Orrville, OH 44667-9322
Phone
(330) 466-9885
NPI assigned
Oct 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 94057667 OH Primary

Addresses

Primary practice location

9318 Lincoln Way E
Orrville, OH 44667-9322

Mailing address

9318 Lincoln Way E
Orrville, OH 44667-9322
Phone (330) 466-9885

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
94057667OHMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1134900202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 LINCOLN WAY E",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446679322",
            "telephone_number": "330-466-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 LINCOLN WAY E",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446679322",
            "telephone_number": "330-466-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIESLER",
        "first_name": "JEREMY",
        "credential": "JD(C), MALS, BSCJ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "OH",
            "license": "94057667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orrville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.