Organization Active NPI

D & B Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, FL
National Provider Identifier
1053958843
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
D & B TRANSPORTATION LLC
Practice address
906 W 29TH St
Jacksonville, FL 32209-4435
Phone
(813) 638-2116
NPI assigned
Nov 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Derrick Shaun Hudson
Title
Owner
Phone
(813) 638-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

906 W 29TH St
Jacksonville, FL 32209-4435

Mailing address

6623 Kinlock Dr W
Jacksonville, FL 32219-3806
Phone (813) 638-2116

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 260134082007ff0

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1053958843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 KINLOCK DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322193806",
            "telephone_number": "813-638-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 29TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322094435",
            "telephone_number": "813-638-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & B TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-638-2116"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "260134082007ff0",
            "affiliation": "N",
            "address_1": "906 W 29th St",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322094435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.