Datahealth Medical Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DATAHEALTH MEDICAL TRANSPORT LLC

Practice address

4348 W Northgate Dr Apt 190
Irving, TX 75062-2583

Phone

(501) 351-4794

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Godswill Mbata

Title

Ceo

Phone

(501) 351-4794

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1225646847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LAS COLINAS BLVD E STE 1302041",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750396291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 W NORTHGATE DR APT 190",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622583",
            "telephone_number": "501-351-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATAHEALTH MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "MBATA",
        "authorized_official_first_name": "GODSWILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-351-4794"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Daniels, PA-C
• John H Dansby III, LPC
• Darshna S. Chandrasekhara, MD, PA
• Kourosh Dashty, D.D.S.
• Dashwood Pharmacy
• Lori A Daugherty-Switzer, CRNP
• Jolly Dave
• Judith A Davenport, CRNA
• Wade Quintin Davenport, RPH.
• David H. Smith, D.C, P.a.

• Non-emergency Medical Transport (VAN) in Irving, TX
• Providers in Irving, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.