Active NPI
Isabella Hammonds Estate
- Prosthetic/Orthotic Supplier
- Dayton, OH
National Provider Identifier
1861451544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- N/A IN OHIO
- Legal business name
- ISABELLA HAMMONDS ESTATE
- Doing business as
- Isabella's Bra-tique
- Practice address
- 3510 N Main St
Dayton, OH 45405-2401 - Phone
- (937) 278-9966
- Fax
- (937) 277-0286
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joni Elaine Haenggi
- Title
- Operator
- Phone
- (937) 278-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | N/A IN OHIO | OH | Primary |
Addresses
Primary practice location
3510 N Main St
Dayton, OH 45405-2401
Mailing address
3510 N Main St
Dayton, OH 45405-2401
Phone (937) 278-9966
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005341067 | Other | OH | AETNA PROVIDER NUMBER |
| 0539975 | Medicaid | OH | |
| 000000028420 | Other | OH | ANTHEM PROVIDER NUMBER |
| 82-20259 | Other | OH | UNITED HEALTH CARE |
| 83027 | Other | OH | NORTHWOOD NPN |
Other names 1
- Isabella's Bra-tique
National Provider Directory
National Provider DirectoryLocations
3510 N Main St
Dayton, OH 45405
Phone (937) 278-9966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1861451544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454052401",
"telephone_number": "937-278-9966",
"fax_number": "937-277-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454052401",
"telephone_number": "937-278-9966",
"fax_number": "937-277-0286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISABELLA HAMMONDS ESTATE",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "HAENGGI",
"authorized_official_first_name": "JONI",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "937-278-9966",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "OH",
"license": "N/A IN OHIO",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "0005341067",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0539975",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000028420",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "82-20259",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWOOD NPN",
"identifier": "83027",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Isabella's Bra-tique",
"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 Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.