Organization Active NPI

Dare Greatly Neuro Systems LLC

  • Electrodiagnostic Medicine Physician
  • Gadsden, AL
National Provider Identifier
1578223350
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
DARE GREATLY NEURO SYSTEMS LLC
Practice address
328 Wildwood Rd
Gadsden, AL 35901-5610
Phone
(256) 613-3931
NPI assigned
Dec 21, 2021
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Skylar L DeermanNPI 1063132959
Title
Owner
Phone
(256) 613-3931

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X Primary

Addresses

Primary practice location

328 Wildwood Rd
Gadsden, AL 35901-5610

Mailing address

328 Wildwood Rd
Gadsden, AL 35901-5610

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kareo Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3331 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7275

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": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1578223350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WILDWOOD RD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WILDWOOD RD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015610",
            "telephone_number": "256-613-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE GREATLY NEURO SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "DEERMAN",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-613-3931"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "Kareo",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "328 Wildwood Rd",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359015610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.