Individual provider Active NPI

Carol Lang Denbow, R.D. L.D

  • Registered Dietitian
  • Wooster, OH
National Provider Identifier
1396076550
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4000 Issued in OH
Practice address
1931 Edwards Dr
Wooster, OH 44691-1926
Phone
(330) 345-3410
Fax
(330) 345-3410
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4000 OH Primary

Addresses

Primary practice location

1931 Edwards Dr
Wooster, OH 44691-1926

Mailing address

1931 Edwards Dr
Wooster, OH 44691-1926
Phone (330) 345-3410

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

LicenseStateTypeSpecialty
4000OHMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1396076550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 EDWARDS DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911926",
            "telephone_number": "330-345-3410",
            "fax_number": "330-345-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 EDWARDS DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911926",
            "telephone_number": "330-345-3410",
            "fax_number": "330-345-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENBOW",
        "first_name": "CAROL",
        "middle_name": "LANG",
        "name_prefix": "Ms.",
        "credential": "R.D. L.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.