Organization Active NPI

Center for Cardiometabolic Treatment & Education, Inc.

  • Specialist
  • Kettering, OH
National Provider Identifier
1508959255
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35052076 Issued in OH
Legal business name
CENTER FOR CARDIOMETABOLIC TREATMENT & EDUCATION, INC.
Practice address
3080 Ackerman Blvd Ste 220
Kettering, OH 45429-3658
Phone
(937) 294-3228
Fax
(937) 294-3250
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Dr. Lawrence E Mieczkowski, MD
Title
President
Phone
(937) 294-3228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35052076 OH Primary

Addresses

Primary practice location

3080 Ackerman Blvd Ste 220
Kettering, OH 45429-3658

Mailing address

3080 Ackerman Blvd Ste 220
Kettering, OH 45429-3658
Phone (937) 294-3228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1508959255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 ACKERMAN BLVD STE 220",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293658",
            "telephone_number": "937-294-3228",
            "fax_number": "937-294-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 ACKERMAN BLVD STE 220",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293658",
            "telephone_number": "937-294-3228",
            "fax_number": "937-294-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CARDIOMETABOLIC TREATMENT & EDUCATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "MIECZKOWSKI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-294-3228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35052076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.