Jared G Dorsa, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.10480 Issued in OH

Practice address

6200 Pfeiffer Rd Ste 360
Montgomery, OH 45242-5861

Phone

(513) 862-4957

Fax

(513) 862-4952

NPI assigned

Feb 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742
  Medicare reassignment NPD
• Trihealth Physician Institute

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1922051697
  NPD (past)

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1407613144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PFEIFFER RD STE 360",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452425861",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PFEIFFER RD STE 360",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452425861",
            "telephone_number": "513-862-4957",
            "fax_number": "513-862-4952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 Clifton Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452203045",
            "country_code": "US",
            "telephone_number": "513-862-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSA",
        "first_name": "JARED",
        "middle_name": "G",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LPD.11028",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.10480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia McCormick Digiovanna
• Dimitar Veselinov Dimitrov
• Victor Komla Doe
• Amanda Donahue
• Nicholas George Dorer, PHARMD
• Robert Leslie Dorsey II, L.M.T.
• Christian Timothy Doyle, APRN, FNP-C
• Shannon Drake
• Kyle Dreyer
• Nash Dreyer, OTR/L CHT

• Registered Dietitian in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.