Dissirama A Betimbena, SOLE MBR

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

335E00000X Issued in OH

Practice address

11260 Chester Rd FL 7
Cincinnati, OH 45246-4048

Phone

(513) 747-0460

NPI assigned

Nov 29, 2024

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1508682071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 CHESTER RD FL 7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464048",
            "telephone_number": "513-747-0460",
            "fax_number": "513-747-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 CHESTER RD FL 7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464048",
            "telephone_number": "513-747-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETIMBENA",
        "first_name": "DISSIRAMA",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "SOLE MBR",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-11-29",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "29BYIDRXDQ",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "335E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethesda Medical Transportation LLC
• Bethesda North Apothecary
• Bethesda North Hospital
• Mridula Reddy Bethi
• Teresa Lasheyl Betiku, CASE MANAGER/ DOULA
• Nicholas Betsch
• Rebecca Renea Betsch
• Betsy Brogan DPM Inc
• Betsy Brogan DPM Inc
• Better Family Care

• Prosthetic/Orthotic Supplier in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.