Organization Active NPI

Distinct Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Chandler, AZ
National Provider Identifier
1063102622
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DISTINCT TRANSPORTATION SERVICES LLC
Practice address
2165 S Douglas Dr # E183
Chandler, AZ 85286-0320
Phone
(602) 813-4003
NPI assigned
May 8, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Kornell Lloyd
Title
Chief Executive Officer
Phone
(815) 295-1500

Specialties & licenses 1

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

Addresses

Primary practice location

2165 S Douglas Dr # E183
Chandler, AZ 85286-0320

Mailing address

1753 E Broadway Rd Ste 101-408
Tempe, AZ 85282-1588

National Provider Directory

National Provider Directory

Locations

2165 S Douglas Dr
#E183
Chandler, AZ 85286
Phone (602) 813-4003

1753 E Broadway Rd
Ste 101408
Tempe, AZ 85282

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1063102622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 E BROADWAY RD STE 101-408",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 S DOUGLAS DR # E183",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852860320",
            "telephone_number": "602-813-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCT TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "KORNELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "815-295-1500"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.