Active NPI
Dustin Ray Pringle, BOCO
- Orthotist
- Johnstown, PA
National Provider Identifier
1245725084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OH000211
- Practice address
- 903 Grambling St
Johnstown, PA 15904-1721 - Phone
- (814) 266-1788
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OH000211 | PA | Primary |
Addresses
Primary practice location
903 Grambling St
Johnstown, PA 15904-1721
Mailing address
903 Grambling St
Johnstown, PA 15904-1721
Phone (814) 266-1788
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
| License | State | Type | Specialty |
|---|---|---|---|
| OH000211 | PA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1245725084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 GRAMBLING ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159041721",
"telephone_number": "814-266-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 GRAMBLING ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159041721",
"telephone_number": "814-266-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINGLE",
"first_name": "DUSTIN",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "BOCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "PA",
"license": "OH000211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.