NPIMap

Organization Active NPI

Centria

  • Other Technician
  • Flint, MI
National Provider Identifier
1629425350
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
CENTRIA
Practice address
3051 Courtz Isle Apt 5
Flint, MI 48532-4207
Phone
(810) 893-1877
NPI assigned
May 23, 2016
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Jalonda Dukes
Title
ABA
Phone
(810) 893-1877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X NU Primary

Addresses

Primary practice location

3051 Courtz Isle Apt 5
Flint, MI 48532-4207

Mailing address

3051 Courtz Isle Apt 5
Flint, MI 48532-4207
Phone (810) 893-1877

Other identifiers 1

IdentifierTypeStateIssuer
242700000XOtherMITECHNICIAN-OTHER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1629425350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 COURTZ ISLE APT 5",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324207",
            "telephone_number": "810-893-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 COURTZ ISLE APT 5",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324207",
            "telephone_number": "810-893-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "JALONDA",
        "authorized_official_title_or_position": "ABA",
        "authorized_official_telephone_number": "810-893-1877"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TECHNICIAN-OTHER",
            "identifier": "242700000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.