Delta Wave LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

BL00033811 Issued in AR

Legal business name

DELTA WAVE LLC

Practice address

1 Innwood Cir
Suite 102
Little Rock, AR 72211-2447

Phone

(501) 217-8200

Fax

(501) 217-8201

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Richard Timothy Evans, BS, CCTNPI 1649413949

Title

President- Delta Wave, LLC

Phone

(877) 840-1840

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Richard Timothy Evans, BSCCT

  • Cardiovascular Specialist/Technologist
  • Little Rock, AR
  • NPI 1649413949
  NPD (past) Authorized official

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1376779843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INNWOOD CIR",
            "address_2": "SUITE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112447",
            "telephone_number": "501-217-8200",
            "fax_number": "501-217-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INNWOOD CIR",
            "address_2": "SUITE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112447",
            "telephone_number": "501-217-8200",
            "fax_number": "501-217-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA WAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT- DELTA WAVE, LLC",
        "authorized_official_telephone_number": "877-840-1840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, CCT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "AR",
            "license": "BL00033811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053424523",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649413949",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamlyn Deloach
• Kristina Nicole Deloney, APRN
• Lorenzo Delong
• Rachel Lois Delong, MD
• Deverick D Delph, PA-C
• Pedro Demeritte
• Brittany Danielle Deming
• Matthew John Denefe, MD
• Matthew Deneke, MD
• Helen K Denison, RD, CDE

• Physiological Laboratory in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Physiological Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.