NPIMap

Organization Active NPI

DTG II PLLC

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1114708005
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DTG II PLLC
Practice address
2610 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-2870
Phone
(800) 268-7713
Fax
(415) 704-3294
NPI assigned
Oct 9, 2023
Organization subpart
Yes
Parent organization
DTG II PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Kandy Morris
Title
SVP of Managed Care
Phone
(725) 214-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2610 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-2870

Mailing address

811 E Kent Rd
Greenville, MI 48838-9791

Other names 1

  • BeyondMD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DTG II PLLC49 organizations share this tax ID, including this one
Part of
DTG II PLLC

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1114708005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E KENT RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522870",
            "telephone_number": "800-268-7713",
            "fax_number": "415-704-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTG II PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DTG II PLLC",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KANDY",
        "authorized_official_title_or_position": "SVP OF MANAGED CARE",
        "authorized_official_telephone_number": "725-214-1202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BeyondMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BeyondMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.