Active NPI
Cibaado Duran
- Vehicle Modifications Contractor
- Greenwood, IN
National Provider Identifier
1942858600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- Practice address
- 1489 Lacebark Dr Unit B
Greenwood, IN 46143-7183 - Phone
- (207) 518-1079
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 171WV0202X | Primary |
Addresses
Primary practice location
1489 Lacebark Dr Unit B
Greenwood, IN 46143-7183
Mailing address
1489 Lacebark Dr Unit B
Greenwood, IN 46143-7183
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Greenwood | Other |
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": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1942858600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1489 LACEBARK DR UNIT B",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 LACEBARK DR UNIT B",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437183",
"telephone_number": "207-518-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "CIBAADO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Greenwood",
"affiliation": "N",
"endpointDescription": "transportation",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Greenwood",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Greenwood",
"address_1": "1489 Lacebark Dr Unit B",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461437183",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.