Dustin Allan Samblanet, RT ( R)(CT)(BD)

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

License

525400 Issued in OH

Practice address

5372 Oakridge Dr
Louisville, OH 44641-8828

Phone

(330) 575-3424

NPI assigned

Jun 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1427628296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 OAKRIDGE DR",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446418828",
            "telephone_number": "330-575-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 OAKRIDGE DR",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446418828",
            "telephone_number": "330-575-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBLANET",
        "first_name": "DUSTIN",
        "middle_name": "ALLAN",
        "credential": "RT ( R)(CT)(BD)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "OH",
            "license": "525400",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "OH",
            "license": "525400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dsambla@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5372 Oakridge Dr",
            "city": "Louisville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446418828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dsambla@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5372 Oakridge Dr",
            "city": "Louisville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446418828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Radiologic Technologist in Louisville, OH
• Providers in Louisville, OH by specialty
• Radiologic Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.