The Daavlin Distributing Co.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

86-015092 Issued in OH

Legal business name

THE DAAVLIN DISTRIBUTING CO.

Doing business as

Phothera

Practice address

205 W Bement St
Bryan, OH 43506-1264

Phone

(419) 636-6304

NPI assigned

Jan 3, 2007

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele Thiel

Title

Regulatory Manager

Phone

(419) 636-6304

Specialties & licenses 2

Addresses

Other names 1

• Phothera Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1326105842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435060626",
            "telephone_number": "419-636-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BEMENT ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061264",
            "telephone_number": "419-636-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DAAVLIN DISTRIBUTING CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "REGULATORY MANAGER",
        "authorized_official_telephone_number": "419-636-6304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "008046570",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "86-015092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phothera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Bryan, OH
• Providers in Bryan, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.