NPIMap

Organization Active NPI

Destiny Community Health Services, Inc.

  • Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1447283999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
00250Y Issued in TX
Legal business name
DESTINY COMMUNITY HEALTH SERVICES, INC.
Practice address
7211 Regency Square Blvd
101
Houston, TX 77036-3138
Phone
(713) 785-4800
NPI assigned
Jul 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Callista Davis, RN
Title
Administrator
Phone
(713) 785-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 00250Y TX Primary

Addresses

Primary practice location

7211 Regency Square Blvd
101
Houston, TX 77036-3138

Mailing address

7211 Regency Square Blvd
101
Houston, TX 77036-3138
Phone (713) 785-4800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447283999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 REGENCY SQUARE BLVD",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363138",
            "telephone_number": "713-785-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 REGENCY SQUARE BLVD",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363138",
            "telephone_number": "713-785-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CALLISTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-785-4800",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "00250Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.