Organization Active NPI

Draygontech Medical Transport, LLC

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1174218655
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DRAYGONTECH MEDICAL TRANSPORT, LLC
Practice address
3115 W Mountain View Rd Apt D215
Phoenix, AZ 85051-2556
Phone
(503) 779-7530
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Anthony J Miller
Title
Owner
Phone
(503) 779-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3115 W Mountain View Rd Apt D215
Phoenix, AZ 85051-2556

Mailing address

3115 W Mountain View Rd Apt D215
Phoenix, AZ 85051-2556
Phone (503) 779-7530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1174218655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 W MOUNTAIN VIEW RD APT D215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850512556",
            "telephone_number": "503-779-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 W MOUNTAIN VIEW RD APT D215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850512556",
            "telephone_number": "503-779-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYGONTECH MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-779-7530"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.