Active NPI
Triple D Medical Transportation, LLC.
- Non-emergency Medical Transport (VAN)
- Albuquerque, NM
National Provider Identifier
1386174829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- TRIPLE D MEDICAL TRANSPORTATION, LLC.
- Practice address
- 2123 Menaul Blvd NE Ste B
Albuquerque, NM 87107 - Phone
- (505) 881-7433
- Fax
- (505) 888-9483
- NPI assigned
- Jun 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lee Belverstone Goddard III
- Title
- Chief Financial Officer
- Phone
- (636) 447-7474
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | 54047 | NM | |
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2123 Menaul Blvd NE Ste B
Albuquerque, NM 87107
Mailing address
2451 Executive Dr Ste 107
Saint Charles, MO 63303-5606
Phone (636) 447-7474
National Provider Directory
National Provider DirectoryLocations
2451 Executive Dr
Ste 107
Saint Charles, MO 63303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534896000000",
"number": "1386174829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 EXECUTIVE DR STE 107",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035606",
"telephone_number": "16364477474",
"fax_number": "636-447-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 MENAUL BLVD NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87107",
"telephone_number": "505-881-7433",
"fax_number": "505-888-9483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIPLE D MEDICAL TRANSPORTATION, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-18",
"last_updated": "2018-08-22",
"status": "A",
"authorized_official_last_name": "GODDARD",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "BELVERSTONE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "636-447-7474",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NM",
"license": "54047",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.