Active NPI
Denroc Enterprises LLC
- Speech-Language Pathologist
- Lawrenceville, GA
National Provider Identifier
1083262836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- DENROC ENTERPRISES LLC
- Practice address
- 1070 Bridle Path Dr
Lawrenceville, GA 30045-8213 - Phone
- (404) 483-9695
- NPI assigned
- Aug 26, 2019
- 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
- Dennis Mitchell
- Title
- Owner
- Phone
- (404) 483-9695
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1070 Bridle Path Dr
Lawrenceville, GA 30045-8213
Mailing address
1070 Bridle Path Dr
Lawrenceville, GA 30045-8213
Phone (404) 483-9695
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566777600000",
"number": "1083262836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 BRIDLE PATH DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300458213",
"telephone_number": "404-483-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 BRIDLE PATH DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300458213",
"telephone_number": "404-483-9695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENROC ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-483-9695"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.