Organization Active NPI

Enterprise Transportation

  • Non-emergency Medical Transport (VAN)
  • San Antonio, TX
National Provider Identifier
1396122875
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ENTERPRISE TRANSPORTATION
Practice address
513 Paseo Canada St
San Antonio, TX 78232-1112
Phone
(210) 599-9999
Fax
(210) 599-1152
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Mr. Michael Khadem
Title
President
Phone
(210) 669-8294

Specialties & licenses 1

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

Addresses

Primary practice location

513 Paseo Canada St
San Antonio, TX 78232-1112

Mailing address

513 Paseo Canada St
San Antonio, TX 78232-1112
Phone (210) 599-9999

Other identifiers 1

IdentifierTypeStateIssuer
343800000XMedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1396122875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PASEO CANADA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321112",
            "telephone_number": "210-599-9999",
            "fax_number": "210-599-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PASEO CANADA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321112",
            "telephone_number": "210-599-9999",
            "fax_number": "210-599-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "KHADEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-669-8294",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343800000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.