Active NPI
Daniel E Petery
- Home Modifications Contractor
- Cleveland, OH
National Provider Identifier
1356521785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 1420 Auburn Ave
Cleveland, OH 44113-5231 - Phone
- (216) 685-1595
- Fax
- (216) 685-1605
- NPI assigned
- Nov 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
1420 Auburn Ave
Cleveland, OH 44113-5231
Mailing address
1420 Auburn Ave
Cleveland, OH 44113-5231
Phone (216) 685-1595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Team Construction | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Cleveland, OH
- NPI 1508198193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1356521785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 AUBURN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441135231",
"telephone_number": "216-685-1595",
"fax_number": "216-685-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 AUBURN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441135231",
"telephone_number": "216-685-1595",
"fax_number": "216-685-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERY",
"first_name": "DANIEL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-14",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.