NPIMap

Organization Active NPI

CDM Boxing Association

  • Health Educator
  • Houston, TX
National Provider Identifier
1144597832
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
CDM BOXING ASSOCIATION
Practice address
1007 Stable Side CT
Houston, TX 77073-6409
Phone
(404) 610-3046
Fax
(281) 443-1432
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Ms. Felicia Davis-Darthard, M.S.
Title
Administrator
Phone
(404) 610-3046

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary
Clinical Exercise PhysiologistGroup: 193200000X MULTI-SPECIALTY GROUP 224Y00000X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X
KinesiotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 226300000X

Addresses

Primary practice location

1007 Stable Side CT
Houston, TX 77073-6409

Mailing address

1007 Stable Side CT
Houston, TX 77073-6409
Phone (404) 610-3046

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1144597832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 STABLE SIDE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770736409",
            "telephone_number": "404-610-3046",
            "fax_number": "281-443-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 STABLE SIDE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770736409",
            "telephone_number": "404-610-3046",
            "fax_number": "281-443-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDM BOXING ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS-DARTHARD",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-610-3046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.