Organization Active NPI

DMV Shuttle Service

  • Non-emergency Medical Transport (VAN)
  • Kingman, AZ
National Provider Identifier
1558696617
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DMV SHUTTLE SERVICE
Practice address
3163 N Jerome St
Kingman, AZ 86401-4367
Phone
(928) 753-3345
Fax
(928) 753-3345
NPI assigned
Oct 7, 2009
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Mr. Michael A Newsome
Title
Owner
Phone
(928) 753-3345

Specialties & licenses 1

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

Addresses

Primary practice location

3163 N Jerome St
Kingman, AZ 86401-4367

Mailing address

3163 N Jerome St
Kingman, AZ 86401-4367
Phone (928) 753-3345

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1558696617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 N JEROME ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014367",
            "telephone_number": "928-753-3345",
            "fax_number": "928-753-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 N JEROME ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014367",
            "telephone_number": "928-753-3345",
            "fax_number": "928-753-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMV SHUTTLE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-753-3345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.