Organization Active NPI

D & D Community Connections

  • Preferred Provider Organization
  • Monroe, LA
National Provider Identifier
1578733580
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
9098 Issued in LA
Legal business name
D & D COMMUNITY CONNECTIONS
Practice address
1041 N 9TH St
Monroe, LA 71201-5548
Phone
(318) 651-0201
Fax
(318) 651-0221
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Diann Beckwith II
Title
President
Phone
(318) 651-0201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 9098 LA Primary

Addresses

Primary practice location

1041 N 9TH St
Monroe, LA 71201-5548

Mailing address

1041 N 9TH St
Monroe, LA 71201-5548
Phone (318) 651-0201

Other identifiers 1

IdentifierTypeStateIssuer
1183229MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
D D Community Connections4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1578733580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N 9TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015548",
            "telephone_number": "318-651-0201",
            "fax_number": "318-651-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N 9TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015548",
            "telephone_number": "318-651-0201",
            "fax_number": "318-651-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D COMMUNITY CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "DIANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-651-0201",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "9098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1183229",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.