Organization Active NPI

Peanut Rides Inc

  • Non-emergency Medical Transport (VAN)
  • Denver, NC
National Provider Identifier
1629876503
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PEANUT RIDES INC
Practice address
4688 Mountain Creek Ave Ste 102
Denver, NC 28037-6803
Phone
(704) 380-7865
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dana Gwen Burroughs
Title
Owner
Phone
(707) 380-7865

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Taxi 344600000X
Private Vehicle 347C00000X

Addresses

Primary practice location

4688 Mountain Creek Ave Ste 102
Denver, NC 28037-6803

Mailing address

4688 Mountain Creek Ave Ste 102
Denver, NC 28037-6803
Phone (704) 380-7865

National Provider Directory

National Provider Directory

Locations

4688 Mountain Creek Ave
Ste 102
Denver, NC 28037
Phone (704) 380-7865

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1629876503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 MOUNTAIN CREEK AVE STE 102",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280376803",
            "telephone_number": "704-380-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 MOUNTAIN CREEK AVE STE 102",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280376803",
            "telephone_number": "704-380-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEANUT RIDES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "GWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-380-7865"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.