Active NPI
David Greer Selover, ATP
- Home Modifications Contractor
- Baldwinsville, NY
National Provider Identifier
1659969319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- ATP90782
- Practice address
- 8246 Dexter Pkwy
Baldwinsville, NY 13027-1007 - Phone
- (315) 516-3376
- NPI assigned
- Jan 7, 2021
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | ATP90782 | NY | Primary |
Addresses
Primary practice location
8246 Dexter Pkwy
Baldwinsville, NY 13027-1007
Mailing address
8246 Dexter Pkwy
Baldwinsville, NY 13027-1007
Phone (315) 516-3376
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
| License | State | Type | Specialty |
|---|---|---|---|
| ATP90782 | NY | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1659969319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8246 DEXTER PKWY",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130271007",
"telephone_number": "315-516-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8246 DEXTER PKWY",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130271007",
"telephone_number": "315-516-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELOVER",
"first_name": "DAVID",
"middle_name": "GREER",
"credential": "ATP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NY",
"license": "ATP90782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.