Active NPI
Calvin Anquan Clemmons
- Contractor
- Dallas, TX
National Provider Identifier
1518597764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 14501 Montfort Dr Apt 811
Dallas, TX 75254-8554 - Phone
- (972) 503-2499
- NPI assigned
- Jan 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
14501 Montfort Dr Apt 811
Dallas, TX 75254-8554
Mailing address
14501 Montfort Dr Apt 811
Dallas, TX 75254-8554
Phone (972) 503-2499
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cee-cee-s-mobilecare-trips.webnode.com | ||
| Other URL | calvinclemmons2@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ceecee's Mobile Care Trips | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Dallas, TX
- NPI 1407486848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579305600000",
"number": "1518597764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14501 MONTFORT DR APT 811",
"city": "DALLAS",
"state": "TX",
"postal_code": "752548554",
"telephone_number": "972-503-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14501 MONTFORT DR APT 811",
"city": "DALLAS",
"state": "TX",
"postal_code": "752548554",
"telephone_number": "972-503-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMMONS",
"first_name": "CALVIN",
"middle_name": "ANQUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-18",
"certification_date": "2020-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cee-cee-s-mobilecare-trips.webnode.com",
"affiliation": "N",
"address_1": "14501 Montfort Dr Apt 811",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752548554",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "calvinclemmons2@gmail.com",
"affiliation": "N",
"address_1": "14501 Montfort Dr Apt 811",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752548554",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.