Organization Active NPI

Keathly and Thomas LLC

  • Land Ambulance
  • Irving, TX
National Provider Identifier
1083725568
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
800066 Issued in TX
Legal business name
KEATHLY AND THOMAS LLC
Practice address
920 Bluebonnet Dr
Suite 101
Irving, TX 75060-4548
Phone
(972) 554-9300
NPI assigned
Aug 31, 2006
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Jennifer Thomas
Title
Partner
Phone
(972) 554-9300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 057102 TX
Land Ambulance 3416L0300X 800066 TX Primary

Addresses

Primary practice location

920 Bluebonnet Dr
Suite 101
Irving, TX 75060-4548

Mailing address

920 Bluebonnet Dr
Suite 101
Irving, TX 75060-4548
Phone (972) 554-9300

Other identifiers 1

IdentifierTypeStateIssuer
AMB640OtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1083725568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BLUEBONNET DR",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604548",
            "telephone_number": "972-554-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BLUEBONNET DR",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604548",
            "telephone_number": "972-554-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEATHLY AND THOMAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-554-9300"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "057102",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.