Organization Active NPI

All Smiles Nemt

  • Non-emergency Medical Transport (VAN)
  • Berkeley, CA
National Provider Identifier
1346936739
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ALL SMILES NEMT
Practice address
2951 Derby St Apt 121
Berkeley, CA 94705-1352
Phone
(669) 293-8899
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Glenn Sean Pettis
Title
Owner
Phone
(669) 293-8899

Specialties & licenses 1

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

Addresses

Primary practice location

2951 Derby St Apt 121
Berkeley, CA 94705-1352

Mailing address

2951 Derby St Apt 121
Berkeley, CA 94705-1352
Phone (669) 293-8899

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1346936739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 DERBY ST APT 121",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051352",
            "telephone_number": "669-293-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 DERBY ST APT 121",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051352",
            "telephone_number": "669-293-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILES NEMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "669-293-8899"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.