Main Line Dietetics, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004975 Issued in PA

Legal business name

MAIN LINE DIETETICS, LLC

Practice address

340 Valley Rd
Merion Station, PA 19066-1520

Phone

(267) 225-4355

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Danowski, MS, RD

Title

Founder and Owner

Phone

(267) 225-4355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1164814984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VALLEY RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VALLEY RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661520",
            "telephone_number": "267-225-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE DIETETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "DANOWSKI",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "267-225-4355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.