Active NPI
Ivan Dale Dummitt III
- Personal Care Attendant
- Ironton, OH
National Provider Identifier
1659088615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 202 Park Ave Apt 407
Ironton, OH 45638-1557 - Phone
- (740) 533-7199
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | Primary |
Addresses
Primary practice location
202 Park Ave Apt 407
Ironton, OH 45638-1557
Mailing address
96 Private Drive 1277
Ironton, OH 45638-8740
Phone (502) 644-6056
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1659088615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 PRIVATE DRIVE 1277",
"city": "IRONTON",
"state": "OH",
"postal_code": "456388740",
"telephone_number": "502-644-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 PARK AVE APT 407",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381557",
"telephone_number": "740-533-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMMITT",
"first_name": "IVAN",
"middle_name": "DALE",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.