NPIMap

Organization Active NPI

Conquest Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Desoto, TX
National Provider Identifier
1508157306
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101594 Issued in TX
Legal business name
CONQUEST SPEECH THERAPY SERVICES PLLC
Practice address
1472 N Hampton Rd
Ste 107
Desoto, TX 75115-3001
Phone
(214) 213-0054
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Kendall Cain, M.S. CCC-SLP
Title
Speech Pathologist
Phone
(214) 213-0054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 101594 TX Primary

Addresses

Primary practice location

1472 N Hampton Rd
Ste 107
Desoto, TX 75115-3001

Mailing address

1472 N Hampton Rd
Ste 107
Desoto, TX 75115-3001

Other identifiers 1

IdentifierTypeStateIssuer
180149002MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Conquest Speech Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1472 N Hampton Rd
Ste 107
Desoto, TX 75115
Phone (214) 213-0054

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1508157306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 N HAMPTON RD",
            "address_2": "STE 107",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 N HAMPTON RD",
            "address_2": "STE 107",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153001",
            "telephone_number": "214-213-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST SPEECH THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "214-213-0054",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180149002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.