Organization Active NPI

Pivot Shield

  • Secured Medical Transport (VAN)
  • Katy, TX
National Provider Identifier
1629843958
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
PIVOT SHIELD
Practice address
20635 Beeston Glade LN
Katy, TX 77449-2877
Phone
(630) 687-3084
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Banji Oduola
Title
Ceo
Phone
(630) 687-3084

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

20635 Beeston Glade LN
Katy, TX 77449-2877

Mailing address

20635 Beeston Glade LN
Katy, TX 77449-2877
Phone (630) 687-3084

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1629843958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20635 BEESTON GLADE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492877",
            "telephone_number": "630-687-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 BEESTON GLADE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492877",
            "telephone_number": "630-687-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT SHIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ODUOLA",
        "authorized_official_first_name": "BANJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-687-3084"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.