Davenbrook, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

12345 Issued in TX

Legal business name

DAVENBROOK, LLC

Doing business as

Direct EMS

Practice address

10703 Plano Rd Ste 300
Dallas, TX 75238-1385

Phone

(214) 221-7963

NPI assigned

Feb 11, 2011

Last updated

Feb 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Brandon

Title

Director

Phone

(214) 221-7963

Specialties & licenses 1

Addresses

Other names 1

• DIRECT EMS Doing business as

Locations

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1174820054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10703 PLANO RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752381385",
            "telephone_number": "214-221-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10703 PLANO RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752381385",
            "telephone_number": "214-221-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-221-7963"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIRECT EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arash Mohaghegh Davanian, D.O.
• Erica Davanian, D.O.
• Akisha K Dave, PA-C
• Neal Dave, PHARM D
• Nilesh B Dave, MD
• Chandra Lyn Davenport, PA-C
• Cheryl V Davenport
• Daniel F Davenport, M.D.
• Emily Marie Davenport, P.A.
• Jill Davenport, M.D.

• Land Ambulance in Dallas, TX
• Providers in Dallas, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.