Individual provider Active NPI

Tasha Demoss, CSFA

  • Surgical Assistant
  • Munster, IN
National Provider Identifier
1225506454
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
9445 Calumet Ave
Munster, IN 46321-2811
Phone
(219) 836-1060
Fax
(219) 836-1014
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

9445 Calumet Ave
Munster, IN 46321-2811

Mailing address

9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MUNSTER

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Orthopedics LLC Multi-Specialty CurrentSince Jun 27, 2021 Accepting new patients
Community Care Network Inc Multi-Specialty PastSince Jun 27, 2021 Accepting new patients

Locations

9445 Calumet Ave
Munster, IN 46321
Phone (219) 836-1060

801 MacArthur Blvd
Ste 304
Munster, IN 46321
Phone (219) 836-1060

Organizations & group practices 2

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1225506454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212811",
            "telephone_number": "219-836-1060",
            "fax_number": "219-836-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212811",
            "telephone_number": "219-836-1060",
            "fax_number": "219-836-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "TASHA",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MUNSTER",
            "affiliation": "N",
            "address_1": "9445 Calumet Ave",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.