Organization Active NPI

Dryhootch of America

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1275931297
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DRYHOOTCH OF AMERICA
Practice address
1030 E Brady St
Milwaukee, WI 53202-1515
Phone
(414) 416-7651
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Mark Flower
Title
Dir.of Community Programs
Phone
(414) 416-7651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1030 E Brady St
Milwaukee, WI 53202-1515

Mailing address

1030 E Brady St
Milwaukee, WI 53202-1515
Phone (414) 416-7651

National Provider Directory

National Provider Directory

Locations

1030 E Brady St
Milwaukee, WI 53202
Phone (414) 416-7651

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1275931297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E BRADY ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021515",
            "telephone_number": "414-416-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E BRADY ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021515",
            "telephone_number": "414-416-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRYHOOTCH OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "FLOWER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIR.OF COMMUNITY PROGRAMS",
        "authorized_official_telephone_number": "414-416-7651"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.