Active NPI
Marissa De Vincent
- Exclusive Provider Organization
- Dublin, OH
National Provider Identifier
1366670267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Practice address
- 5500 Glendon CT
Dublin, OH 43016-3246 - Phone
- (877) 641-2010
- Fax
- (330) 757-1412
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Primary |
Addresses
Primary practice location
5500 Glendon CT
Dublin, OH 43016-3246
Mailing address
5500 Glendon CT
Dublin, OH 43016-3246
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1366670267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 GLENDON CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 GLENDON CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163246",
"telephone_number": "877-641-2010",
"fax_number": "330-757-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VINCENT",
"first_name": "MARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.