Cardiovascular Support Services

Primary specialty

ContractorTaxonomy code 171W00000X

License

PF0541 Issued in TX

Legal business name

CARDIOVASCULAR SUPPORT SERVICES

Practice address

3409 Worth St.
Ste. 725
Dallas, TX 75246-0289

Phone

(214) 824-2510

NPI assigned

Apr 19, 2007

Last updated

Jun 23, 2008By 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

Mr. Dustin Allen Goodrich, LP, CCP

Title

Clinical Perfusionist

Phone

(214) 824-2510

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1326265364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WORTH STREET.",
            "address_2": "SUITE 725",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752460289",
            "telephone_number": "214-824-2510",
            "fax_number": "214-826-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST.",
            "address_2": "STE. 725",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752460289",
            "telephone_number": "214-824-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CLINICAL PERFUSIONIST",
        "authorized_official_telephone_number": "214-824-2510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LP, CCP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "PF0541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiologx Diagnostic Solutions LLC
• Cardiology and Interventional Vascular Associates
• Cardiology Consultants of Texas
• Cardiology Consultants of Texas
• Cardiology Specialists of North Texas, PLLC
• Cardiovascular Support Services, Inc.
• Julia Michelle Cardle, MSN, APRN, AGACNP-BC
• America Cardona, MSSW,LCSW
• Jennifer Cardona
• Miriam Cardona, LCSW

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.