NPIMap

Organization Active NPI

Dennis MC Whorter

  • Skilled Nursing Facility
  • Fairborn, OH
National Provider Identifier
1669645370
Registry record updated Apr 18, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06007 Issued in OH
Legal business name
DENNIS MC WHORTER
Practice address
2215 Roseanne CT
Fairborn, OH 45324-6317
Phone
(937) 878-5004
Fax
(937) 235-1442
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mr. Dennis Kevin McWhorter, LPTA
Title
Physical Therapist Assistant
Phone
(937) 371-5389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06007 OH Primary

Addresses

Primary practice location

2215 Roseanne CT
Fairborn, OH 45324-6317

Mailing address

2215 Roseanne CT
Fairborn, OH 45324-6317
Phone (937) 878-5004

Other identifiers 1

IdentifierTypeStateIssuer
06007MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1669645370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 ROSEANNE CT",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246317",
            "telephone_number": "937-878-5004",
            "fax_number": "937-235-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 ROSEANNE CT",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246317",
            "telephone_number": "937-878-5004",
            "fax_number": "937-235-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS MC WHORTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "937-371-5389",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "06007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairborn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.