Active NPI
Demarco Robinson
- Driver
- Fort Wayne, IN
National Provider Identifier
1265840508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 3716 Marigold Dr
Fort Wayne, IN 46815-5922 - Phone
- (734) 672-0525
- NPI assigned
- Jul 30, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Driver | 172A00000X | Primary | ||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
3716 Marigold Dr
Fort Wayne, IN 46815-5922
Mailing address
3716 Marigold Dr
Fort Wayne, IN 46815-5922
Phone (734) 672-0525
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1265840508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 MARIGOLD DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155922",
"telephone_number": "734-672-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3716 MARIGOLD DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155922",
"telephone_number": "734-672-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DEMARCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-30",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.