Individual provider Active NPI

David M Halter

  • Basic Emergency Medical Technician
  • Vincennes, IN
National Provider Identifier
1659600153
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
0335 Issued in IN
Practice address
928 Vigo St
Vincennes, IN 47591-2836
Phone
(812) 882-2600
Fax
(812) 886-3404
NPI assigned
Dec 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 0335 IN Primary

Addresses

Primary practice location

928 Vigo St
Vincennes, IN 47591-2836

Mailing address

928 Vigo St
Vincennes, IN 47591-2836
Phone (812) 882-2600

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
0335INMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincennes City Fire Department Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1659600153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 VIGO ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912836",
            "telephone_number": "812-882-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 VIGO ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912836",
            "telephone_number": "812-882-2600",
            "fax_number": "812-886-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTER",
        "first_name": "DAVID",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IN",
            "license": "0335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.