Organization Active NPI

Conquest Speech Therapy Services

  • Speech-Language Pathologist
  • Grand Prairie, TX
National Provider Identifier
1023259330
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101594 Issued in TX
Legal business name
CONQUEST SPEECH THERAPY SERVICES
Practice address
620 W Westchester Pkwy
5204
Grand Prairie, TX 75052-3299
Phone
(214) 213-0054
NPI assigned
Mar 16, 2009
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Mr. Kendall CainNPI 1164543401
Title
Speech Pathologist
Phone
(214) 213-0054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 101594 TX Primary

Addresses

Primary practice location

620 W Westchester Pkwy
5204
Grand Prairie, TX 75052-3299

Mailing address

PO Box 541415
Grand Prairie, TX 75054-1415
Phone (214) 213-0054

National Provider Directory

National Provider Directory
Tax ID family
Conquest Speech Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1023259330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541415",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750541415",
            "telephone_number": "214-213-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W WESTCHESTER PKWY",
            "address_2": "5204",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523299",
            "telephone_number": "214-213-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST SPEECH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "214-213-0054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.