Cassandra Dykin

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

PTA.10429 Issued in OH

Practice address

2181 Ambleside Dr
Cleveland, OH 44106-4645

Phone

(216) 791-2968

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1710332176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10157 INDEPENDENCE DR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333404",
            "telephone_number": "440-638-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 AMBLESIDE DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064645",
            "telephone_number": "216-791-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKIN",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "OH",
            "license": "PTA.10429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Other Specialist/Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.