Active NPI
City of Carrollton
- Land Ambulance
- Carrollton, TX
National Provider Identifier
1033240718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF CARROLLTON
- Practice address
- 1945 E Jackson Rd
Carrollton, TX 75006-1737 - Phone
- (972) 466-4746
- Fax
- (972) 389-9523
- NPI assigned
- Mar 7, 2007
- Last updated
- Oct 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Glenn
- Title
- Chief
- Phone
- (972) 466-3070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 057012 | TX | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1945 E Jackson Rd
Carrollton, TX 75006-1737
Mailing address
PO Box 115125
Carrollton, TX 75011
Phone (972) 466-4746
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0863458-01 | Medicaid | TX | |
| ========= | Other | TX | FEDERAL TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120323000147 | TX | Part B Supplier - Ambulance Service Supplier | 2567622848 | Practice locations: Carrollton, TX |
National Provider Directory
National Provider DirectoryLocations
1115 W Rosemeade Pkwy
Carrollton, TX 75007
Phone (214) 243-0327
1623 E Belt Line Rd
Carrollton, TX 75006
Phone (214) 243-0327
1945 E Jackson Rd
Carrollton, TX 75006
Phone (214) 243-0327
2255 Marsh Ln
Carrollton, TX 75006
Phone (214) 243-0327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1033240718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115125",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75011",
"telephone_number": "972-466-4746",
"fax_number": "972-389-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 E JACKSON RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750061737",
"telephone_number": "972-466-4746",
"fax_number": "972-389-9523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CARROLLTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2024-10-24",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "972-466-3070"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": "TX",
"license": "057012",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0863458-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "=========",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
- Charles S Churchwell, D.P.M.
- Kylie Marie Churnetski, RD, NBC-HWC
- Dennis Michael Cianciulli Jr., D.C.
- Cil Psychological Services PLLC
- Elizabeth Andrea Cisneros
- CKC Holdings LLC (Cornerstone Pediatric Therapy)
- Daphne Clarke, RN
- Classic Clinical Laboratory LLC
- Clearview Primary Care PLLC
- Ashley Elizabeth Cleary, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.