NPIMap

Organization Active NPI

Dysphagy, LTD., PLLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1124303904
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3811 Issued in NC
Legal business name
DYSPHAGY, LTD., PLLC
Practice address
9834 Baxter Caldwell Dr
Charlotte, NC 28213-4726
Phone
(704) 779-3279
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Joy C. Daniels, M.ED., CCC-SLP
Title
Managing Partner
Phone
(704) 779-3279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3811 NC Primary

Addresses

Primary practice location

9834 Baxter Caldwell Dr
Charlotte, NC 28213-4726

Mailing address

9834 Baxter Caldwell Dr
Charlotte, NC 28213-4726
Phone (704) 779-3279

Other names 1

  • Dysphagy, Ltd. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1124303904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 BAXTER CALDWELL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134726",
            "telephone_number": "704-779-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 BAXTER CALDWELL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134726",
            "telephone_number": "704-779-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSPHAGY, LTD., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "704-779-3279",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dysphagy, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.