Active NPI
Mitch Cron
- Attendant Care Provider
- Dayton, OH
National Provider Identifier
1568059632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 5715551
- Practice address
- 4517 Timberwilde Dr
Dayton, OH 45440-1510 - Phone
- (937) 272-5799
- NPI assigned
- Dec 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 5715551 | OH | Primary |
Addresses
Primary practice location
4517 Timberwilde Dr
Dayton, OH 45440-1510
Mailing address
4517 Timberwilde Dr
Dayton, OH 45440-1510
Phone (937) 272-5799
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5715551 | OH | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1568059632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 TIMBERWILDE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454401510",
"telephone_number": "937-272-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 TIMBERWILDE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454401510",
"telephone_number": "937-272-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRON",
"first_name": "MITCH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "OH",
"license": "5715551",
"primary": true
}
],
"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 Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.