Organization Active NPI

Isabella Hammonds Estate

  • Prosthetic/Orthotic Supplier
  • Dayton, OH
National Provider Identifier
1861451544
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
N/A IN OHIO Issued in OH
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

Updated by the provider on Jul 31, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0005341067OtherOHAETNA PROVIDER NUMBER
0539975MedicaidOH
000000028420OtherOHANTHEM PROVIDER NUMBER
82-20259OtherOHUNITED HEALTH CARE
83027OtherOHNORTHWOOD NPN

Other names 1

  • Isabella's Bra-tique Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.