Individual provider Active NPI

John Warner Aller

  • Foster Care Agency
  • Daytona Beach Shores, FL
National Provider Identifier
1528233863
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Practice address
2937 S Atlantic Ave
Apt 508
Daytona Beach Shores, FL 32118-6045
Phone
(386) 767-7731
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

2937 S Atlantic Ave
Apt 508
Daytona Beach Shores, FL 32118-6045

Mailing address

2937 S Atlantic Ave
Apt 508
Daytona Beach Shores, FL 32118-6045
Phone (386) 767-7731

Other identifiers 1

IdentifierTypeStateIssuer
230464300MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1528233863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 S ATLANTIC AVE",
            "address_2": "APT 508",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186045",
            "telephone_number": "386-767-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 S ATLANTIC AVE",
            "address_2": "APT 508",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186045",
            "telephone_number": "386-767-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLER",
        "first_name": "JOHN",
        "middle_name": "WARNER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230464300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.