Active NPI
David Riensche
- Home Modifications Contractor
- Stanwood, WA
National Provider Identifier
1881002616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- CCDAVIDCR911MM
- Practice address
- 30624 62ND Ave NW
Stanwood, WA 98292-7180 - Phone
- (360) 631-8188
- NPI assigned
- Jul 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | CCDAVIDCR911MM | WA | Primary |
Addresses
Primary practice location
30624 62ND Ave NW
Stanwood, WA 98292-7180
Mailing address
30624 62ND Ave NW
Stanwood, WA 98292-7180
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
| License | State | Type | Specialty |
|---|---|---|---|
| CCDAVIDCR911MM | WA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1881002616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30624 62ND AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982927180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30624 62ND AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982927180",
"telephone_number": "360-631-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIENSCHE",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "WA",
"license": "CCDAVIDCR911MM",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.