Individual provider Active NPI

Yahia Aliosman Ebendriss

  • Non-emergency Medical Transport (VAN)
  • Greensboro, NC
National Provider Identifier
1841637402
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
23671618 Issued in NC
Practice address
4615 Brompton Dr
Greensboro, NC 27407-1205
Phone
(336) 450-6782
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 23671618 NC Primary

Addresses

Primary practice location

4615 Brompton Dr
Greensboro, NC 27407-1205

Mailing address

PO Box 49041
Greensboro, NC 27419-1041
Phone (336) 450-6782

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

LicenseStateTypeSpecialty
23671618NCMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1841637402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49041",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274191041",
            "telephone_number": "336-450-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 BROMPTON DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071205",
            "telephone_number": "336-450-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBENDRISS",
        "first_name": "YAHIA",
        "middle_name": "ALIOSMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "23671618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.