Active NPI
Distinct Transportation Services LLC
- Non-emergency Medical Transport (VAN)
- Chandler, AZ
National Provider Identifier
1063102622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2023
- 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
- Kornell Lloyd
- Title
- Chief Executive Officer
- Phone
- (815) 295-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.