NPIMap

Organization Active NPI

Divine Images

  • Prosthetics Case Management
  • Cincinnati, OH
National Provider Identifier
1346950599
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
DIVINE IMAGES
Practice address
1806 Northcut Ave
Cincinnati, OH 45237-6026
Phone
(937) 727-3705
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Eboni Everage, LICENSED COSMETOLOGINPI 1891266243
Title
Owner
Phone
(513) 628-3782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

1806 Northcut Ave
Cincinnati, OH 45237-6026

Mailing address

1806 Northcut Ave
Cincinnati, OH 45237-6026
Phone (513) 628-3782

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1346950599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 NORTHCUT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376026",
            "telephone_number": "513-628-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 NORTHCUT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376026",
            "telephone_number": "937-727-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE IMAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "EVERAGE",
        "authorized_official_first_name": "EBONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-628-3782",
        "authorized_official_credential": "LICENSED COSMETOLOGI"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.