Organization Active NPI

DKNL Enterprises, Inc.

  • Non-emergency Medical Transport (VAN)
  • Roanoke, VA
National Provider Identifier
1508314634
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T25013702 Issued in VA
Legal business name
DKNL ENTERPRISES, INC.
Practice address
3629 Franklin Rd SW Suite 205B
Roanoke, VA 24014
Phone
(540) 342-8838
Fax
(540) 342-9839
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Mrs. Judy T. Nuckolls
Title
Owner
Phone
(540) 342-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T25013702 VA Primary

Addresses

Primary practice location

3629 Franklin Rd SW Suite 205B
Roanoke, VA 24014

Mailing address

3629 Franklin Rd SW Suite 205B
Roanoke, VA 24014
Phone (540) 342-8838

Other names 1

  • Virginia Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

3629 Franklin Rd SW
Ste 205B
Roanoke, VA 24014
Phone (540) 342-8838

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1508314634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 FRANKLIN RD SW SUITE 205B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-342-8838",
            "fax_number": "540-342-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 FRANKLIN RD SW SUITE 205B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-342-8838",
            "fax_number": "540-342-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKNL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "NUCKOLLS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-342-8838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "T25013702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.