Distilled Design Works LLC

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Legal business name

DISTILLED DESIGN WORKS LLC

Practice address

832 N Crest Dr
Grand Junction, CO 81506-8781

Phone

(970) 712-1435

Fax

(970) 243-3968

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Robert G Dittmer

Title

Owner

Phone

(970) 712-1435

Specialties & licenses 1

Addresses

Other names 1

• Mobility Driven Doing business as

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1104363472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 N CREST DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068781",
            "telephone_number": "970-712-1435",
            "fax_number": "970-243-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 N CREST DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068781",
            "telephone_number": "970-712-1435",
            "fax_number": "970-243-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTILLED DESIGN WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "DITTMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-712-1435"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Driven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David W. Dirks, MD
• Kimberly Anne Ditzler, MS
• Diversicare of Grand Junction I, LLC
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• Dmja Enterprises LLC
• Isabella Dobbs

• Vehicle Modifications Contractor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Vehicle Modifications Contractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.