Organization Active NPI

DKB Speech and Language Services PLLC

  • Customized Equipment (DME)
  • Fredericksburg, VA
National Provider Identifier
1437409232
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DKB SPEECH AND LANGUAGE SERVICES PLLC
Practice address
810 Westwood Office Park
Fredericksburg, VA 22401-5121
Phone
(540) 693-6997
Fax
(877) 771-3419
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Deniece M Payne, MS, CCP-SLP
Title
Clinical Director
Phone
(540) 693-6997

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA
Customized Equipment (DME) 332BC3200X VA Primary

Addresses

Primary practice location

810 Westwood Office Park
Fredericksburg, VA 22401-5121

Mailing address

810 Westwood Office Park
Fredericksburg, VA 22401-5121
Phone (540) 693-6997

Other identifiers 2

IdentifierTypeStateIssuer
1730494329MedicaidVA
1073788931MedicaidVA

Other names 1

  • DKB Therapy Services PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DKB Speech and Language Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1437409232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WESTWOOD OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015121",
            "telephone_number": "540-693-6997",
            "fax_number": "877-771-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WESTWOOD OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015121",
            "telephone_number": "540-693-6997",
            "fax_number": "877-771-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKB SPEECH AND LANGUAGE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DENIECE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "540-693-6997",
        "authorized_official_credential": "MS, CCP-SLP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730494329",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073788931",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DKB Therapy Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.