NPIMap

Organization Active NPI

DDD, LTD

  • Midwife
  • Andover, KS
National Provider Identifier
1346690690
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
DDD, LTD
Practice address
105 S Andover Rd
Suite a
Andover, KS 67002-7920
Phone
(316) 371-0707
Fax
(316) 252-1244
NPI assigned
Jun 17, 2016
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Mrs. Deidre Dawn Degrado, CPMNPI 1205036605
Title
Midwife
Phone
(316) 371-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

105 S Andover Rd
Suite a
Andover, KS 67002-7920

Mailing address

105 S Andover Rd
Suite a
Andover, KS 67002-7920
Phone (316) 371-0707

National Provider Directory

National Provider Directory

Locations

105 S Andover Rd
Ste A
Andover, KS 67002
Phone (316) 350-7461

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1346690690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S ANDOVER RD",
            "address_2": "SUITE A",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027920",
            "telephone_number": "316-371-0707",
            "fax_number": "316-252-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S ANDOVER RD",
            "address_2": "SUITE A",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027920",
            "telephone_number": "316-371-0707",
            "fax_number": "316-252-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "DEGRADO",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "316-371-0707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.