Gregory S Dahmer, ORTHOTIST, ATC

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

C26333 Issued in WV

Practice address

943 Maple Dr
Morgantown, WV 26505-2812

Phone

(304) 285-3734

Fax

(304) 285-3738

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1447381561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 MAPLE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052812",
            "telephone_number": "304-285-3734",
            "fax_number": "304-285-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 MAPLE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052812",
            "telephone_number": "304-285-3734",
            "fax_number": "304-285-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHMER",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "ORTHOTIST, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WV",
            "license": "C26333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008417",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica L. O. D'Angelo, M.D.
• Annamarie D'Annunzio, MS, NCC
• Alexandre C D'Audiffret, M. D.
• Nour Daboul, MD
• Scott D Daffner, M.D.
• Andrew Daigneau
• Laurie Dailey, MNT
• Ahmed Dakouche
• Amy Dale, LPC
• Madison Michelle Dale

• Orthotist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Orthotist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.