Divine Design Birth Center

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

License

150040 Issued in TX

Legal business name

DIVINE DESIGN BIRTH CENTER

Practice address

428 W 34TH St
San Angelo, TX 76903-2324

Phone

(325) 703-1456

Fax

(817) 345-3533

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Kelly Rollins Miller, LM, CPM

Title

Owner

Phone

(325) 703-1456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1508259193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W 34TH ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769032324",
            "telephone_number": "325-703-1456",
            "fax_number": "817-345-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W 34TH ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769032324",
            "telephone_number": "325-703-1456",
            "fax_number": "817-345-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DESIGN BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ROLLINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-703-1456",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "TX",
            "license": "150040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Leora Dierschke
• Adrianna Dill, RBT
• Casey W Dilworth, LPC
• Selena Pranee Dingess, LMT
• Discovery Counseling & Services LLC
• Emily Michelle Dodd, M.D.
• Ruth Dodds, OT
• Jerry W Dodson, M.D.
• Lalanie Denise Dohrse
• Monica R Dollar

• Birthing Clinic/Center in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Birthing Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.