Active NPI
Andre Al Adams
- Driver
- Dayton, OH
National Provider Identifier
1295485589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- SD762973
- Practice address
- 727 Five Oaks Ave
Dayton, OH 45406-5219 - Phone
- (937) 603-2833
- NPI assigned
- Mar 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | SD762973 | OH | Primary |
Addresses
Primary practice location
727 Five Oaks Ave
Dayton, OH 45406-5219
Mailing address
727 Five Oaks Ave
Dayton, OH 45406-5219
Phone (937) 603-2833
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Samstrucking4@gmail.com | Health Information Exchange (HIE) | |
| Other URL | Samstrucking4@gmail.com | Direct |
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 |
|---|---|---|---|
| SD762973 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1295485589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 FIVE OAKS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454065219",
"telephone_number": "937-603-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 FIVE OAKS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454065219",
"telephone_number": "937-603-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ANDRE",
"middle_name": "AL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "SD762973",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Samstrucking4@gmail.com",
"affiliation": "N",
"endpointDescription": "Samstrucking4@gmail.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "727 Five Oaks Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454065219",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Samstrucking4@gmail.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "9376032833",
"address_1": "727 Five Oaks Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454065219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.