C3Edf1, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160362 Issued in TX

Legal business name

C3EDF1, LLC

Doing business as

Code 3 ER at DFW Airport

Practice address

2390 Innovation Dr.
Suite 100
DFW Airport, TX 75261-9428

Phone

(214) 997-1940

Fax

(214) 997-1941

NPI assigned

May 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Carrie E De Moor, MD

Title

Ceo

Phone

(469) 320-9820

Specialties & licenses 1

Addresses

Other names 1

• Code 3 ER at DFW Airport Doing business as

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1285162610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 260",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346913",
            "telephone_number": "469-208-5297",
            "fax_number": "214-260-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 INNOVATION DR.",
            "address_2": "SUITE 100",
            "city": "DFW AIRPORT",
            "state": "TX",
            "postal_code": "752619428",
            "telephone_number": "214-997-1940",
            "fax_number": "214-997-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C3EDF1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "DE MOOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-320-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Code 3 ER at DFW Airport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Code 3 ER at DFW Airport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asmd LLC
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• Fastpass Ucdfw, PLLC (Code 3 Urgent Care)
• Kari Groth, FNP
• Safety Tubs Company, LLC

• Emergency Care Clinic/Center in DFW Airport, TX
• Providers in DFW Airport, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.