Organization Active NPI

Technology Resouce Center, Inc

  • Developmentally Disabled Services Day Training Agency
  • Dayton, OH
National Provider Identifier
1780055830
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TECHNOLOGY RESOUCE CENTER, INC
Practice address
660 S Main St
Dayton, OH 45402-2708
Phone
(937) 461-4800
Fax
(937) 461-6304
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Leo Dugdale, VP, CFO
Title
VP, Cfo
Phone
(937) 461-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

660 S Main St
Dayton, OH 45402-2708

Mailing address

660 S Main St
Dayton, OH 45402-2708
Phone (937) 461-4800

Other identifiers 1

IdentifierTypeStateIssuer
5706098MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1780055830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022708",
            "telephone_number": "937-461-4800",
            "fax_number": "937-461-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022708",
            "telephone_number": "937-461-4800",
            "fax_number": "937-461-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECHNOLOGY RESOUCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "DUGDALE",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "937-461-4800",
        "authorized_official_credential": "VP, CFO"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5706098",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.