Organization Active NPI

Davidstar Enterprises

  • Physical Disabilities Residential Treatment Facility
  • Plano, TX
National Provider Identifier
1568829125
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
32059276298 Issued in NU
Legal business name
DAVIDSTAR ENTERPRISES
Practice address
4337 Country Club Dr
Plano, TX 75074-3610
Phone
(214) 560-7351
NPI assigned
Jan 26, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Jemima Moise, COTA
Title
Manager
Phone
(214) 926-7284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 32059276298 NU Primary

Addresses

Primary practice location

4337 Country Club Dr
Plano, TX 75074-3610

Mailing address

4337 Country Club Dr
Plano, TX 75074-3610
Phone (214) 560-7351

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1568829125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 COUNTRY CLUB DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743610",
            "telephone_number": "214-560-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 COUNTRY CLUB DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743610",
            "telephone_number": "214-560-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSTAR ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "MOISE",
        "authorized_official_first_name": "JEMIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-926-7284",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": "32059276298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.