Active NPI
A Private Place LLC
- Neurology Chiropractor
- Dayton, OH
National Provider Identifier
1558778084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- MANM993092
- Legal business name
- A PRIVATE PLACE LLC
- Practice address
- 8759 Mardi Gras Dr
Dayton, OH 45424-1039 - Phone
- (937) 681-0184
- Fax
- (937) 236-0892
- NPI assigned
- Jul 16, 2014
- Last updated
- Jul 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Eileen Watson Darden, REFLEXOLOGIST
- Title
- Owner
- Phone
- (937) 681-0184
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | MANM993092 | OH | Primary |
| Home Health Agency | 251E00000X | MANM993092 | OH | |
| In Home Supportive Care Agency | 253Z00000X | MANM993092 | OH | |
| Long Term Care Hospital | 282E00000X | MANM993092 | OH | |
| Child Mental Illness Respite Care | 385HR2055X | MANM993092 | OH |
Addresses
Primary practice location
8759 Mardi Gras Dr
Dayton, OH 45424-1039
Mailing address
8759 Mardi Gras Dr
Dayton, OH 45424-1039
Phone (837) 681-0184
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1558778084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8759 MARDI GRAS DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454241039",
"telephone_number": "837-681-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8759 MARDI GRAS DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454241039",
"telephone_number": "937-681-0184",
"fax_number": "937-236-0892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A PRIVATE PLACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "DARDEN",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "WATSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-681-0184",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REFLEXOLOGIST"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": "OH",
"license": "MANM993092",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "MANM993092",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "MANM993092",
"primary": false
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "OH",
"license": "MANM993092",
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "OH",
"license": "MANM993092",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.