Individual provider Active NPI

Joseph Michael Proya

  • Specialist
  • Garrettsville, OH
National Provider Identifier
1174051320
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
120469 Issued in OH
Practice address
12963 Nelson Ledge Rd
Garrettsville, OH 44231-9627
Phone
(330) 348-1741
Fax
(330) 248-7224
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 120469 OH Primary

Addresses

Primary practice location

12963 Nelson Ledge Rd
Garrettsville, OH 44231-9627

Mailing address

12963 Nelson Ledge Rd
Garrettsville, OH 44231-9627
Phone (330) 348-7411

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
120469OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunrite Exterminating LLC Single Specialty CurrentSince Feb 26, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1174051320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12963 NELSON LEDGE RD",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319627",
            "telephone_number": "330-348-7411",
            "fax_number": "330-248-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12963 NELSON LEDGE RD",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319627",
            "telephone_number": "330-348-1741",
            "fax_number": "330-248-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROYA",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "120469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrettsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.