Organization Active NPI

A Private Place LLC

  • Neurology Chiropractor
  • Dayton, OH
National Provider Identifier
1558778084
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
MANM993092 Issued in OH
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.