NPIMap

Organization Active NPI

Dynasty Network

  • Case Management Agency
  • Canton, MI
National Provider Identifier
1134634322
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DYNASTY NETWORK
Doing business as
dynasty family health services
Practice address
40560 Douglas Dr Apt 204
Canton, MI 48188-1357
Phone
(734) 678-1363
NPI assigned
Dec 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

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

Authorized official

Name
Clara Throckmorton, LAMS
Title
Executive Director
Phone
(734) 678-1363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

40560 Douglas Dr Apt 204
Canton, MI 48188-1357

Mailing address

40560 Douglas Dr Apt 204
Canton, MI 48188-1357
Phone (734) 678-1363

Other names 1

  • dynasty family health services 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": "1512777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512777600000",
    "number": "1134634322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40560 DOUGLAS DR APT 204",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881357",
            "telephone_number": "734-678-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40560 DOUGLAS DR APT 204",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881357",
            "telephone_number": "734-678-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-09",
        "last_updated": "2017-12-09",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-678-1363",
        "authorized_official_credential": "LAMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dynasty family health services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.