Active NPI
Dafonte Medical Services, LLC
- Prosthetic/Orthotic Supplier
- Houston, TX
National Provider Identifier
1568456937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 000125
- Legal business name
- DAFONTE MEDICAL SERVICES, LLC
- Practice address
- 1101 Highway 6 S
Houston, TX 77077-1021 - Phone
- (281) 498-3566
- Fax
- (281) 498-5388
- NPI assigned
- Aug 31, 2005
- 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
- Mrs. Brandee Nicola Dafonte
- Title
- President
- Phone
- (281) 498-3566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 000125 | TX | Primary |
Addresses
Primary practice location
1101 Highway 6 S
Houston, TX 77077-1021
Mailing address
1101 Highway 6 S
Houston, TX 77077-1021
Phone (281) 498-3566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017127401 | Medicaid | TX | |
| 011105601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1101 Highway 6 S
Houston, TX 77077
Phone (281) 498-3566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1568456937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 HIGHWAY 6 S",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770771021",
"telephone_number": "281-498-3566",
"fax_number": "281-498-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HIGHWAY 6 S",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770771021",
"telephone_number": "281-498-3566",
"fax_number": "281-498-5388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAFONTE MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "DAFONTE",
"authorized_official_first_name": "BRANDEE",
"authorized_official_middle_name": "NICOLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-498-3566",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "000125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017127401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011105601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.