Northern Star Ride

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

NORTHERN STAR RIDE

Practice address

11911 Greenville Ave Apt 2119
Dallas, TX 75243-3665

Phone

(507) 329-0167

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Tedros Kiros Berihu

Title

Manager

Phone

(507) 329-0167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1609652981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 GREENVILLE AVE APT 2119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433665",
            "telephone_number": "507-329-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 GREENVILLE AVE APT 2119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433665",
            "telephone_number": "507-329-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN STAR RIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "BERIHU",
        "authorized_official_first_name": "TEDROS",
        "authorized_official_middle_name": "KIROS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-329-0167"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.