TYLER DUNHAM (NPI# 1558797811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558797811 |
Entity Type | Individual |
Full Name | TYLER DUNHAM |
Credential | CPO |
Practice Address |
309 S. Sharon Amity Road Suite 104 Charlotte NC 28211-2886 |
Mailing Address |
660 W Lincoln Hwy Exton PA 19341-2514 |
Practice Telephone | 7043727660 |
Practice Fax Number | 7043727659 |
Mailing Telephone | 6108736733 |
Mailing Fax Number | 6108736735 |
Enumeration Date | 2013-09-18 |
Last Update Date | 2014-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306480363 | Tyler Dunham | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2019-11-03 |
Street Address |
309 S. SHARON AMITY ROAD SUITE 104 |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-2886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
1609439868 | Latarsha Cooper | Prosthetist | 9711 David Taylor Dr Apt 228, Charlotte, NC 28262-2376 | 2019-04-15 |
1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
1255724423 | Dana Cannon | Prosthetist | 2805 South Blvd, Charlotte, NC 28209-1801 | 2015-03-12 |
1912006628 | Mark L Elgart | Prosthetist | 2001 E 7th St, Suite I, Charlotte, NC 28204-3311 | 2006-09-21 |
1306496187 | Travis Barlow | Prosthetist | 2826 Randolph Rd Ste 201, Charlotte, NC 28211-1359 | 2019-09-13 |
1306334792 | Matthew Earl Glover | Prosthetist | 220 Westinghouse Blvd Ste 405, Charlotte, NC 28273-4260 | 2018-05-01 |
1114310281 | Xquisite Xtensions | Prosthetist | 2805 South Blvd, Charlotte, NC 28209-1801 | 2015-03-12 |
Find all providers in CHARLOTTE |
Please comment or provide details below to improve the information on TYLER DUNHAM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.