Active NPI
Alexis Ditren Santos
- Student in an Organized Health Care Education/Training Program
- Toledo, OH
National Provider Identifier
1346083623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2801 W Bancroft St
Toledo, OH 43606-3390 - Phone
- (800) 586-5336
- NPI assigned
- Jun 14, 2024
- Last updated
- Mar 30, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
2801 W Bancroft St
Toledo, OH 43606-3390
Mailing address
6124 SW Oak Cliff Ave
Lawton, OK 73505-7713
Phone (917) 979-8511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520003068 | OH | Order and Referring Only - Neurology | 8426527227 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1346083623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6124 SW OAK CLIFF AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735057713",
"telephone_number": "917-979-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W BANCROFT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063390",
"telephone_number": "800-586-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITREN SANTOS",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-14",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.