Individual provider Active NPI

Dominick Lawrence Flarey, NP

  • Adult Health Nurse Practitioner
  • Warren, OH
National Provider Identifier
1932737731
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.03531 Issued in OH
Practice address
2400 Niles Cortland Rd SE Ste 4
Warren, OH 44484-3869
Phone
(330) 652-7776
Fax
(330) 652-7575
NPI assigned
Mar 29, 2020
Last updated
Mar 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.03531 OH Primary

Addresses

Primary practice location

2400 Niles Cortland Rd SE Ste 4
Warren, OH 44484-3869

Mailing address

1477 Tripodi Cir
Niles, OH 44446-3564
Phone (330) 307-5877

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.aihcp.net Direct

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.03531OHMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1932737731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 TRIPODI CIR",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463564",
            "telephone_number": "330-307-5877",
            "fax_number": "330-652-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NILES CORTLAND RD SE STE 4",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843869",
            "telephone_number": "330-652-7776",
            "fax_number": "330-652-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAREY",
        "first_name": "DOMINICK",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.03531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.aihcp.net",
            "affiliation": "N",
            "endpointDescription": "secure sever business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1477 Tripodi Cir",
            "city": "Niles",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444463564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.