Active NPI
Fasse Dabe, LLC
- Parenteral & Enteral Nutrition Supplies (DME)
- Mason, OH
National Provider Identifier
1356322390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- HMER22180
- Legal business name
- FASSE DABE, LLC
- Doing business as
- Dabe Medical
- Practice address
- 7537 Easy St
Mason, OH 45040-9421 - Phone
- (513) 573-9625
- Fax
- (513) 573-9628
- NPI assigned
- Nov 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kimball Lewis Dabe, RRT
- Title
- Member
- Phone
- (513) 573-9625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | HMER22180 | OH | Primary |
Addresses
Primary practice location
7537 Easy St
Mason, OH 45040-9421
Mailing address
7537 Easy St
Mason, OH 45040-9421
Phone (513) 573-9625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69000567A | Other | IN | INDIANA DME LICENSE |
| HMER 22180 | Other | OH | STATE LICENSE OHIO |
| 2284200 | Medicaid | OH |
Other names 1
- Dabe Medical
National Provider Directory
National Provider DirectoryLocations
7537 Easy St
Ste 101
Mason, OH 45040
Phone (513) 229-0438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306281600000",
"number": "1356322390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7537 EASY ST",
"city": "MASON",
"state": "OH",
"postal_code": "450409421",
"telephone_number": "513-573-9625",
"fax_number": "513-573-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7537 EASY ST",
"city": "MASON",
"state": "OH",
"postal_code": "450409421",
"telephone_number": "513-573-9625",
"fax_number": "513-573-9628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASSE DABE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-08",
"last_updated": "2011-05-25",
"status": "A",
"authorized_official_last_name": "DABE",
"authorized_official_first_name": "KIMBALL",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "513-573-9625",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "OH",
"license": "HMER22180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA DME LICENSE",
"identifier": "69000567A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE OHIO",
"identifier": "HMER 22180",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2284200",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dabe Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.