Individual provider Active NPI

Anthony Dimarino, RD/LD

  • Registered Dietitian
  • Parma, OH
National Provider Identifier
1992331540
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
7248 Issued in OH
Practice address
3806 Liggett Dr Lowr Unit
Parma, OH 44134-2530
Phone
(440) 315-0332
NPI assigned
Mar 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 7248 OH Primary

Addresses

Primary practice location

3806 Liggett Dr Lowr Unit
Parma, OH 44134-2530

Mailing address

3806 Liggett Dr Lowr Unit
Parma, OH 44134-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200821002799 OH Practitioner - Registered Dietitian Or Nutrition Professional 7012333974 Reassigns benefits to 1 organization
I20240611004313 TX Practitioner - Registered Dietitian Or Nutrition Professional 7012333974 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7248OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jan 12, 2022 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Apr 21, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

515 S Flower St
#1015
Los Angeles, CA 90071

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

1806 Highway 35
Ste 203A
Oakhurst, NJ 07755

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

350 E 1st Ave
Columbus, OH 43201
Phone (312) 599-2555

5555 Transportation Blvd
Garfield Hts, OH 44125
Phone (216) 518-3444

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

10260 SW Greenburg Rd
Fl 44
Portland, OR 97223

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1992331540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 LIGGETT DR LOWR UNIT",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 LIGGETT DR LOWR UNIT",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342530",
            "telephone_number": "440-315-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARINO",
        "first_name": "ANTHONY",
        "credential": "RD/LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "7248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.