DHST Incorporated

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

102522804 Issued in CA

Legal business name

DHST INCORPORATED

Practice address

5001 Birch St
Suite 8
Newport Beach, CA 92660-2116

Phone

(949) 861-4378

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

William Kennamore

Title

Ceo

Phone

(949) 861-4378

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1629476353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BIRCH ST",
            "address_2": "SUITE 8",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602116",
            "telephone_number": "949-861-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BIRCH ST",
            "address_2": "SUITE 8",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602116",
            "telephone_number": "949-861-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHST INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "KENNAMORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-861-4378"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "102522804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda H Detling, MFT
• Devin K. Binder, M.D., PH.D., Inc.
• Jessica Nicole Dewitt, MSN, PNP
• Alexander B Deyan, MD
• Parminder Dhaliwal, MD
• DHST, Incorporated
• David Di Sano, LMFT
• Diane Koch RPT Inc
• Cristina Jacqueline Diaz Gonzalez, AMFT
• Ahtziri Diaz

• Massage Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.