Organization Active NPI

Iq Dispatch LLC

  • Non-emergency Medical Transport (VAN)
  • Leesburg, VA
National Provider Identifier
1477102895
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
IQ DISPATCH LLC
Doing business as
Iq Dispatch LLC
Practice address
722 E Market St Ste 102
Leesburg, VA 20176-4475
Phone
(407) 492-9483
NPI assigned
Sep 9, 2019
Last updated
Sep 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Nebiyu Berhanu
Title
Managing Director
Phone
(407) 492-9483

Specialties & licenses 1

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

Addresses

Primary practice location

722 E Market St Ste 102
Leesburg, VA 20176-4475

Mailing address

5760 Dow Ave Apt 320
Alexandria, VA 22304-4066
Phone (407) 492-9483

Other identifiers 1

IdentifierTypeStateIssuer
117108351OtherDUN NUMBER

Other names 1

  • IQ DISPATCH LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5760 Dow Ave
Apt 320
Alexandria, VA 22304

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1477102895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 DOW AVE APT 320",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044066",
            "telephone_number": "407-492-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E MARKET ST STE 102",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764475",
            "telephone_number": "407-492-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQ DISPATCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "BERHANU",
        "authorized_official_first_name": "NEBIYU",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "407-492-9483"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUN NUMBER",
            "identifier": "117108351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IQ DISPATCH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.