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NPI profile

ADVANTAGE ON CALL

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundexcludedNPI API source

Identity

NPI
1649609959
Entity type
NPI-2
Primary taxonomy
305S00000X
NPI source updated
Nov 06, 2013
Enumeration date
Nov 06, 2013
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

excludedConfidence: high

Exact OIG exclusion match by NPI.

VDA OC, LLCExact OIG exclusion match by NPI.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILINGN/A
LOCATION8777753003
Screen a CSVNPI and OIG data notes

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.