Individual provider Active NPI

Roland Dibo

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1457782146
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA10012 Issued in DC
Practice address
439 Oneida PL NW
Washington, DC 20011-2150
Phone
(202) 291-7226
NPI assigned
Dec 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA10012 DC Primary

Addresses

Primary practice location

439 Oneida PL NW
Washington, DC 20011-2150

Mailing address

439 Oneida PL NW
Washington, DC 20011-2150

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
HHA10012DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1457782146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 ONEIDA PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 ONEIDA PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112150",
            "telephone_number": "202-291-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBO",
        "first_name": "ROLAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA10012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.