Organization Active NPI

David D. Dull DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Youngstown, OH
National Provider Identifier
1497008361
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36001383 Issued in OH
Legal business name
DAVID D. DULL DPM LLC
Practice address
4442 Logan Way
Youngstown, OH 44505-1739
Phone
(330) 759-0904
Fax
(330) 759-2201
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. David D Dull, DPM
Title
Podiatrist
Phone
(330) 759-0904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36001383 OH Primary

Addresses

Primary practice location

4442 Logan Way
Youngstown, OH 44505-1739

Mailing address

4442 Logan Way
Youngstown, OH 44505-1739

National Provider Directory

National Provider Directory

Locations

4442 Logan Way
Youngstown, OH 44505
Phone (216) 759-0904

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1497008361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 LOGAN WAY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 LOGAN WAY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051739",
            "telephone_number": "330-759-0904",
            "fax_number": "330-759-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. DULL DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "DULL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "330-759-0904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36001383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.