Dream Team Diagnostics, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

DREAM TEAM DIAGNOSTICS, LLC

Practice address

601 Penn St
Fort Worth, TX 76102-2619

Phone

(817) 680-6688

Fax

(817) 796-1174

NPI assigned

Sep 24, 2016

Organization subpart

No

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

Authorized official

Name

Jose Mendez

Title

Member

Phone

(817) 680-6688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474675200000",
    "number": "1659820256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PENN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PENN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022619",
            "telephone_number": "817-680-6688",
            "fax_number": "817-796-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM TEAM DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-680-6688"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Dramse
• Grant M Draper, DPT
• DRCS Group, Inc.
• Dream Group Home LLC
• Dream Haven Extensions
• Dreamworks Dental of North Tarrant, PLLC
• Dreamworks Eyecare
• Randy Derek Drechsel, MD
• Vera A Dreiling, LPC
• Drennan Family Dentistry

• Sleep Disorder Diagnostic Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.