Active NPI
Cory Werito
- Non-emergency Medical Transport (VAN)
- Fort Defiance, AZ
National Provider Identifier
1750678496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 343900000X
- Practice address
- Navajo Route 12 Mile Marker 34-3429
Fort Defiance, AZ 86504-0885 - Phone
- (505) 419-4672
- Fax
- (382) 729-5338
- NPI assigned
- Jul 1, 2011
- Last updated
- Jul 1, 2011
- 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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 343900000X | AZ | Primary |
Addresses
Primary practice location
Navajo Route 12 Mile Marker 34-3429
Fort Defiance, AZ 86504-0885
Mailing address
PO Box 885
Fort Defiance, AZ 86504-0885
Phone (505) 419-4672
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 |
|---|---|---|---|
| 343900000X | AZ | MD | Non-emergency Medical Transport (VAN) |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Farmington, NM
- NPI 1336486638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1750678496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 885",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040885",
"telephone_number": "505-419-4672",
"fax_number": "382-729-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAJO ROUTE 12 MILE MARKER 34-3429",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040885",
"telephone_number": "505-419-4672",
"fax_number": "382-729-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERITO",
"first_name": "CORY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AZ",
"license": "343900000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.