Active NPI
Darrell Grant, DBA(THE MED DOCTORS)
- Durable Medical Equipment & Medical Supplies
- Westerville, OH
National Provider Identifier
1902081508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- NONE REQUIRED
- Practice address
- 1119 Hoover Lake CT
Westerville, OH 43081-1919 - Phone
- (866) 531-0822
- Fax
- (866) 531-0822
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NONE REQUIRED | OH | Primary |
Addresses
Primary practice location
1119 Hoover Lake CT
Westerville, OH 43081-1919
Mailing address
1119 Hoover Lake CT
Westerville, OH 43081-1919
Phone (866) 531-0822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111646 | 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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE REQUIRED | OH | MD | Ophthalmic Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrell a and Teresa a Grant | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Westerville, OH
- NPI 1558967224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1902081508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 HOOVER LAKE CT",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430811919",
"telephone_number": "866-531-0822",
"fax_number": "866-531-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 HOOVER LAKE CT",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430811919",
"telephone_number": "866-531-0822",
"fax_number": "866-531-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "DARRELL",
"name_prefix": "Mr.",
"credential": "DBA(THE MED DOCTORS)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "NONE REQUIRED",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2111646",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.