Organization Active NPI

Crescent 1 LLC

  • Non-emergency Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1174277362
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CRESCENT 1 LLC
Practice address
1341 W Mockingbird LN Ste 600W
Dallas, TX 75247-6904
Phone
(972) 652-0256
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Isameldin Abdel Aziz Elmahdi
Title
Owner
Phone
(972) 652-0256

Specialties & licenses 1

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

Addresses

Primary practice location

1341 W Mockingbird LN Ste 600W
Dallas, TX 75247-6904

Mailing address

1341 W Mockingbird LN Ste 600W
Dallas, TX 75247-6904

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1174277362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W MOCKINGBIRD LN STE 600W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 W MOCKINGBIRD LN STE 600W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476904",
            "telephone_number": "972-652-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "ELMAHDI",
        "authorized_official_first_name": "ISAMELDIN",
        "authorized_official_middle_name": "ABDEL AZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-652-0256"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "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 Feb 7, 2022; 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.