Church of the Living God PGT

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CHURCH OF THE LIVING GOD PGT

Doing business as

CHURCH OF THE LIVING GOD PGT

Practice address

2610 E Ledbetter Dr
2610 E Ledbetter Drive
Dallas, TX 75216-7404

Phone

(214) 372-3369

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Charles Cleveland Junior, MINISTER

Title

Pastor

Phone

(214) 372-3369

Specialties & licenses 2

Addresses

Other names 1

• CHURCH OF THE LIVING GOD PGT Doing business as

Locations

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1124352281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E LEDBETTER DR",
            "address_2": "P O BOX 41485",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167404",
            "telephone_number": "214-372-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 E LEDBETTER DR",
            "address_2": "2610 E LEDBETTER DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167404",
            "telephone_number": "214-372-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH OF THE LIVING GOD PGT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "JUNIOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CLEVELAND",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "214-372-3369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MINISTER"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHURCH OF THE LIVING GOD PGT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sei Y Chung, M.D.
• Stephen Shiu-Wah Chung, MD
• Victoria Chung, D.O.
• Wendy Mingyee Chung, M.D.
• Traci Lynn Chupp, MSN, RN, NNP-BC
• Skipper Daniel Church, CRNA
• Churchill Healthcare Education Resources and Outreach
• Christina C Churu, RN
• Lyla Chustz, OTR
• Kristina Alicia Ciaglia, MD

• Non-emergency Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.