Organization Active NPI

Leo Danny Dipiprima

  • Prosthetic/Orthotic Supplier
  • Rome, GA
National Provider Identifier
1891749321
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
20140
Legal business name
LEO DANNY DIPIPRIMA
Practice address
931 N 2ND Ave NW
Rome, GA 30165-2501
Phone
(706) 291-7457
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Leo D Diprima
Title
Owner
Phone
(706) 291-7457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X 20140 Primary

Addresses

Primary practice location

931 N 2ND Ave NW
Rome, GA 30165-2501

Mailing address

931 N 2ND Ave NW
Rome, GA 30165-2501
Phone (706) 291-7457

Other identifiers 2

IdentifierTypeStateIssuer
631286253AMedicaidGA
631286253BMedicaidGA

National Provider Directory

National Provider Directory

Locations

931 N 2nd Ave NW
Rome, GA 30165
Phone (706) 291-1490

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1891749321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 N 2ND AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652501",
            "telephone_number": "706-291-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 N 2ND AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652501",
            "telephone_number": "706-291-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO DANNY DIPIPRIMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "DIPRIMA",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-291-7457"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "20140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631286253A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631286253B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.