Ddsdream,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

15023813 Issued in GA

Legal business name

DDSDREAM,LLC

Doing business as

Womans Touch 2

Practice address

112 Merchants Square Dr
Cartersville, GA 30121-2258

Phone

(770) 606-9293

Fax

(770) 606-8113

NPI assigned

Mar 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Diana Sue Hurst

Title

Ceo/Owner

Phone

(770) 606-9293

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Womans Touch 2 Doing business as

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

{
    "created_epoch": "1426896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1396139945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MERCHANTS SQUARE DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212258",
            "telephone_number": "770-606-9293",
            "fax_number": "770-606-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MERCHANTS SQUARE DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212258",
            "telephone_number": "770-606-9293",
            "fax_number": "770-606-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDSDREAM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-21",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-606-9293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "15023813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7415370001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womans Touch 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M. McKalip MD LLC (David M. McKalp MD)
• Crystal A Davidick
• Teresa Davis, AS, BA, CADC II
• Terry Lynn Day, LPC
• Wendy Carol Day
• Adam Kyle Deal, M.D.
• Shannon Leigh Dean, PMHNP-BC
• Debkar
• Susan Elaine Deguia, NP-C
• Linda S. Denham, D.C.

• Durable Medical Equipment & Medical Supplies in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.