Active NPI
Guy Anthony Desmond, R.D.
- Registered Dietitian
- Converse, TX
National Provider Identifier
1023490471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT04643
- Practice address
- 8639 Anderson CV
Converse, TX 78109-1938 - Phone
- (210) 739-2107
- NPI assigned
- Jun 22, 2015
- Last updated
- Jun 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT04643 | TX | Primary |
Addresses
Primary practice location
8639 Anderson CV
Converse, TX 78109-1938
Mailing address
8639 Anderson CV
Converse, TX 78109-1938
Phone (210) 739-2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT04643 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1023490471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8639 ANDERSON CV",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781091938",
"telephone_number": "210-739-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8639 ANDERSON CV",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781091938",
"telephone_number": "210-739-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMOND",
"first_name": "GUY",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-22",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT04643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Converse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.