Individual provider Active NPI

Deshon Doheny

  • Massage Therapist
  • Cathedral City, CA
National Provider Identifier
1619619681
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
75443 Issued in CA
Practice address
69175 Converse Rd Apt 222F
Cathedral City, CA 92234-7083
Phone
(760) 219-0765
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 75443 CA Primary

Addresses

Primary practice location

69175 Converse Rd Apt 222F
Cathedral City, CA 92234-7083

Mailing address

69175 Converse Rd Apt 222F
Cathedral City, CA 92234-7083
Phone (760) 219-0765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
75443CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1619619681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69175 CONVERSE RD APT 222F",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347083",
            "telephone_number": "760-219-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69175 CONVERSE RD APT 222F",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347083",
            "telephone_number": "760-219-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHENY",
        "first_name": "DESHON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "75443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.