1790844553 NPI number — APRIL D DUNNINGTON DC

Table of content: APRIL D DUNNINGTON DC (NPI 1790844553)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790844553 NPI number — APRIL D DUNNINGTON DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUNNINGTON
Provider First Name:
APRIL
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790844553
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6560 CENTERVILLE BUSINESS PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTERVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45459-2685
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-432-6565
Provider Business Mailing Address Fax Number:
937-432-6566

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6560 CENTERVILLE BUSINESS PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45459-2685
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-432-6565
Provider Business Practice Location Address Fax Number:
937-432-6566
Provider Enumeration Date:
12/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2844 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 86108475800 . This is a "WORKMAN'S COMP #" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1084758 . This is a "FEDERAL TAX ID #" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2132418 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".