Rising Phoenix Transport LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

RISING PHOENIX TRANSPORT LLC

Practice address

508 Minnesota Ave
Buffalo, NY 14215-1232

Phone

(716) 310-7711

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vaughn Pernell Owens Jr.

Title

Owner

Phone

(716) 310-7711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1649926197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MINNESOTA AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MINNESOTA AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151232",
            "telephone_number": "716-310-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "PERNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-310-7711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Transportation Network Company in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.