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NPI profile

DAISY ADA

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

NPI record foundexcludedNPI API source

Identity

NPI
1811150139
Entity type
NPI-1
Primary taxonomy
163W00000X
NPI source updated
Jul 07, 2008
Enumeration date
Jul 07, 2008
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.

DAISY ADAExact OIG exclusion match by NPI.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILING8185220848
LOCATION8185220848
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.