David Overstreet'S Taekwondo Plus LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DAVID OVERSTREET'S TAEKWONDO PLUS LLC

Practice address

1600 10TH St
Alamogordo, NM 88310-5047

Phone

(575) 439-5425

Fax

(575) 439-5425

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

David Overstreet, CTTNPI 1568711943

Title

Chief Trainer

Phone

(575) 439-5425

Specialties & licenses 1

Addresses

Other names 1

• Overstreet TaeKwonDo Academy Doing business as

Locations

Practitioners 1

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

• David Overstreet

  • Recreation Therapist
  • Alamogordo, NM
  • NPI 1568711943
  NPD (past) Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1326397902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105047",
            "telephone_number": "575-439-5425",
            "fax_number": "575-439-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105047",
            "telephone_number": "575-439-5425",
            "fax_number": "575-439-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID OVERSTREET'S TAEKWONDO PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF TRAINER",
        "authorized_official_telephone_number": "575-439-5425",
        "authorized_official_credential": "CTT"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overstreet TaeKwonDo Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Dahlin, PT, DPT
• Kami Marie Daily, CNP
• Elizabeth Dameworth
• Dan Moezzi MD PC
• Mark Daugherty
• Deborah Marie Davila
• Robin Davis, L.I.S.W.
• Adrienne Daw
• Ashley Dawes
• Tyrell C Dean, DMD

• Public Health or Welfare Agency in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Public Health or Welfare Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.