NPIMap

Organization Active NPI

Illuminated Direction LLC

  • Case Management Agency
  • Dallas, TX
National Provider Identifier
1124660196
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ILLUMINATED DIRECTION LLC
Practice address
17304 Preston Rd Ste 800
Dallas, TX 75252-5645
Phone
(919) 285-1593
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Carl Martin Noyes
Title
Cco
Phone
(919) 223-4571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

17304 Preston Rd Ste 800
Dallas, TX 75252-5645

Mailing address

17304 Preston Rd Ste 800
Dallas, TX 75252-5645

National Provider Directory

National Provider Directory
Tax ID family
Illuminated Direction LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

17304 Preston Rd
Ste 800
Dallas, TX 75252
Phone (214) 763-1985

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1124660196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525645",
            "telephone_number": "919-285-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED DIRECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "919-223-4571"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.