Dominic Dotse Amegashitsi

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

4546 Arrowhead Dr Apt 74546
Eau Claire, WI 54703-6217

Phone

(651) 285-3818

NPI assigned

Apr 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1972208874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 ARROWHEAD DR APT 7",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036218",
            "telephone_number": "651-285-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 ARROWHEAD DR APT 74546",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036217",
            "telephone_number": "651-285-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEGASHITSI",
        "first_name": "DOMINIC",
        "middle_name": "DOTSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Driver in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.