Organization Active NPI

Collad

  • Non-emergency Medical Transport (VAN)
  • Desoto, TX
National Provider Identifier
1295102796
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
2556790 Issued in TX
Legal business name
COLLAD
Practice address
207 Balsam Grove Cir
Desoto, TX 75115-5361
Phone
(469) 463-3061
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Collins AdeagboNPI 1598147811
Title
Manager
Phone
(469) 463-3061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 2556790 TX Primary

Addresses

Primary practice location

207 Balsam Grove Cir
Desoto, TX 75115-5361

Mailing address

207 Balsam Grove Cir
Desoto, TX 75115-5361

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1295102796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BALSAM GROVE CIR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BALSAM GROVE CIR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155361",
            "telephone_number": "469-463-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "ADEAGBO",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-463-3061"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "2556790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.