Active NPI
Jeremy Wright
- Developmentally Disabled Services Day Training Agency
- Jacobsburg, OH
National Provider Identifier
1962099416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 46562 Main St
Jacobsburg, OH 43933-9783 - Phone
- (614) 940-6125
- NPI assigned
- Dec 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
46562 Main St
Jacobsburg, OH 43933-9783
Mailing address
46562 Main St
Jacobsburg, OH 43933-9783
Phone (614) 940-6125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0702061 | Other | OH | DEPARTMENT OF DEVELOPMENTAL DISABILITIES |
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": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1962099416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46562 MAIN ST",
"city": "JACOBSBURG",
"state": "OH",
"postal_code": "439339783",
"telephone_number": "614-940-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46562 MAIN ST",
"city": "JACOBSBURG",
"state": "OH",
"postal_code": "439339783",
"telephone_number": "614-940-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JEREMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
"identifier": "0702061",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacobsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.