Organization Active NPI

Fasse Dabe, LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Mason, OH
National Provider Identifier
1356322390
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
HMER22180 Issued in OH
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

Updated by the provider on May 25, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
69000567AOtherININDIANA DME LICENSE
HMER 22180OtherOHSTATE LICENSE OHIO
2284200MedicaidOH

Other names 1

  • Dabe Medical Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.