Individual provider Active NPI

Randy R Daulton, RRT

  • General Care Registered Respiratory Therapist
  • Ann Arbor, MI
National Provider Identifier
1639893837
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
4401002064 Issued in MI
Practice address
2500 Green Rd Ste 200
Ann Arbor, MI 48105-1573
Phone
(734) 222-4277
Fax
(734) 222-4383
NPI assigned
Sep 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X 4401002064 MI Primary

Addresses

Primary practice location

2500 Green Rd Ste 200
Ann Arbor, MI 48105-1573

Mailing address

2500 Green Rd Ste 200
Ann Arbor, MI 48105-1573
Phone (734) 222-4277

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

LicenseStateTypeSpecialty
4401002064MIMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1639893837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GREEN RD STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051573",
            "telephone_number": "734-222-4277",
            "fax_number": "734-222-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GREEN RD STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051573",
            "telephone_number": "734-222-4277",
            "fax_number": "734-222-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULTON",
        "first_name": "RANDY",
        "middle_name": "R",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "MI",
            "license": "4401002064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.