Active NPI
Charles Richard Doss
- Home Modifications Contractor
- Bainbridge, OH
National Provider Identifier
1881865277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 1535 Potts Hill Rd
Bainbridge, OH 45612-9765 - Phone
- (740) 634-3501
- Fax
- (740) 634-3502
- NPI assigned
- Mar 13, 2008
- Last updated
- Mar 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
1535 Potts Hill Rd
Bainbridge, OH 45612-9765
Mailing address
1535 Potts Hill Rd
Bainbridge, OH 45612-9765
Phone (740) 634-3501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2250451 | Medicaid | OH | |
| 7100363 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1881865277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 POTTS HILL RD",
"city": "BAINBRIDGE",
"state": "OH",
"postal_code": "456129765",
"telephone_number": "740-634-3501",
"fax_number": "740-634-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 POTTS HILL RD",
"city": "BAINBRIDGE",
"state": "OH",
"postal_code": "456129765",
"telephone_number": "740-634-3501",
"fax_number": "740-634-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "CHARLES",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2250451",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100363",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.