NPIMap

Organization Active NPI

Wright State University.

  • Case Management Agency
  • Dayton, OH
National Provider Identifier
1790731388
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0464 Issued in OH
Legal business name
WRIGHT STATE UNIVERSITY.
Practice address
1628 Springfield St
Dayton, OH 45403-1430
Phone
(937) 222-2400
Fax
(937) 222-7522
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Ms. Kristen K. Dunn, PCC, LICDCNPI 1063872356
Title
Program Director
Phone
(937) 222-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0464 OH Primary

Addresses

Primary practice location

1628 Springfield St
Dayton, OH 45403-1430

Mailing address

6 S Patterson Blvd
Dayton, OH 45402-2111
Phone (937) 222-2400

Other identifiers 1

IdentifierTypeStateIssuer
MC342800MedicaidOH

Other names 1

  • Consumer Advocacy Model Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1790731388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022111",
            "telephone_number": "937-222-2400",
            "fax_number": "937-222-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 SPRINGFIELD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454031430",
            "telephone_number": "937-222-2400",
            "fax_number": "937-222-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE UNIVERSITY.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "937-222-2400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "0464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC342800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consumer Advocacy Model",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 9, 2009; 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.