Active NPI
Dolores Grier
- Nurse's Aide
- Massillon, OH
National Provider Identifier
1376680785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 375159391095
- Practice address
- 1819 Woodbine Cir NE
Massillon, OH 44646-2556 - Phone
- (330) 265-6870
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 375159391095 | OH | Primary |
Addresses
Primary practice location
1819 Woodbine Cir NE
Massillon, OH 44646-2556
Mailing address
1819 Woodbine Cir NE
Massillon, OH 44646-2556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2676082 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 375159391095 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376680785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 WOODBINE CIR NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 WOODBINE CIR NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462556",
"telephone_number": "330-265-6870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIER",
"first_name": "DOLORES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "375159391095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2676082",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.