Active NPI
Shawan Angel Dawson
- Home Modifications Contractor
- Cincinnati, OH
National Provider Identifier
1669852174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 0120884
- Practice address
- 7920 Clovernook Ave
Cincinnati, OH 45231-3302 - Phone
- (513) 344-2389
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- 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 | 0120884 | OH | Primary |
Addresses
Primary practice location
7920 Clovernook Ave
Cincinnati, OH 45231-3302
Mailing address
7920 Clovernook Ave
Cincinnati, OH 45231-3302
Phone (513) 344-2389
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 |
|---|---|---|---|
| 0120884 | OH | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1669852174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 CLOVERNOOK AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452313302",
"telephone_number": "513-344-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 CLOVERNOOK AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452313302",
"telephone_number": "513-344-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "SHAWAN",
"middle_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "OH",
"license": "0120884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.