Active NPI
WS Transportation
- Secured Medical Transport (VAN)
- Desoto, TX
National Provider Identifier
1558181560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Legal business name
- WS TRANSPORTATION
- Doing business as
- NEMT Driver
- Practice address
- 1612 Chacon Canyon Dr
Desoto, TX 75115-7782 - Phone
- (817) 704-9583
- NPI assigned
- Oct 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Willie Smith II
- Title
- Owner
- Phone
- (817) 704-9583
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Secured Medical Transport (VAN) | 343800000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
1612 Chacon Canyon Dr
Desoto, TX 75115-7782
Mailing address
1612 Chacon Canyon Dr
Desoto, TX 75115-7782
Phone (817) 704-9583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154149771 | Medicaid | TX |
Other names 1
- NEMT Driver
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1558181560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 CHACON CANYON DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157782",
"telephone_number": "817-704-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 CHACON CANYON DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157782",
"telephone_number": "817-704-9583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WS TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "WILLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-704-9583",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154149771",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEMT Driver",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 23, 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.