Active NPI
Theodore William Zierden IV
- Student in an Organized Health Care Education/Training Program
- Dayton, OH
National Provider Identifier
1952090086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1 Wyoming St
Dept of Medical Education
Dayton, OH 45409 - Phone
- (937) 208-2205
- NPI assigned
- May 4, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1 Wyoming St
Dept of Medical Education
Dayton, OH 45409
Mailing address
1 Wyoming St
Dept of Medical Education
Dayton, OH 45409
Phone (937) 208-2205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230810004389 | OH | Order and Referring Only - Dentist | 8426410267 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1952090086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "DEPT OF MEDICAL EDUCATION",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-208-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "DEPT OF MEDICAL EDUCATION",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-208-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIERDEN",
"first_name": "THEODORE",
"middle_name": "WILLIAM",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
- David A Zidar, LISW-S
- Paige Ziegler
- Malgorzata Ewa Zielonka, DOCTOR OF PHARMACY
- Suzanne M Ziemer, CCC-SLP
- Jeffrey S. Zier, O.D.
- Ziks Family Pharmacy Inc 100
- Ziks Family Pharmacy Inc 100 (Ziks Family Pharmacy #100)
- Ziks Family Pharmacy Inc 102 (Ziks Family Pharmacy #102)
- Ziks Family Pharmacy Inc 102
- Ziks Home Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.