Jeda Ride Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

JEDA RIDE TRANSPORTATION LLC

Practice address

12225 Greenville Ave Ste 703
Dallas, TX 75243-9362

Phone

(214) 791-0536

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Jerusalem Desalegn DerbewNPI 1235982778

Title

Owner/Manager

Phone

(214) 791-0536

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerusalem Desalgn Derbew

  • Driver
  • Dallas, TX
  • NPI 1235982778
  NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1508605833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 MEADOW RD # 6314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313745",
            "telephone_number": "214-791-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 GREENVILLE AVE STE 703",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439362",
            "telephone_number": "214-791-0536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8250 Meadow Rd # 6314",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313745",
            "country_code": "US",
            "telephone_number": "214-791-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEDA RIDE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "DERBEW",
        "authorized_official_first_name": "JERUSALEM",
        "authorized_official_middle_name": "DESALEGN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "214-791-0536"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeb S. Miers M.D., P.a (North Dallas Internal Medicine)
• Joseph Suhail Jebain, MD
• Hazel Patricia Jebaraj
• Oluleke S Jeboda, D.M.D,
• Michael Scot Jebsen, PT
• Grace Syombua Jedidah
• Sangyoon Jee, DMD
• Jeff Nance, MD, PA
• Jefferson First Assist PLLC
• Jefferson Orthodontics PLLC

• Secured Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.