David K. Elliott, DPM.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

36001901 Issued in OH

Legal business name

DAVID K. ELLIOTT, DPM.

Practice address

20 South Ave
Tallmadge, OH 44278-2802

Phone

(330) 630-9030

Fax

(330) 630-3554

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David K Elliott, DPMNPI 1497753008

Title

Owner

Phone

(330) 630-9030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David K Elliott, DPM

  • Podiatrist
  • Tallmadge, OH
  • NPI 1497753008
  NPD (past) Authorized official

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1649440488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SOUTH AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782802",
            "telephone_number": "330-630-9030",
            "fax_number": "330-630-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SOUTH AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782802",
            "telephone_number": "330-630-9030",
            "fax_number": "330-630-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. ELLIOTT, DPM.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-630-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "36001901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley H Crombie, M.D.
• Elayne Cross
• Edmund I. Csernyik, DO
• Culmination Counseling, LLC
• Arjun Darnal, HOME HEALTH AIDE
• Deanna L Davis
• Maria Mekoe Davis
• Barbara E. Dawson, R.N.
• David J. Dawson, O.D.
• Michelle Elizabeth Dawson, O.D.

• All providers in Tallmadge, OH
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.