Upcoming Enterprize Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UPCOMING ENTERPRIZE CORPORATION

Practice address

6615 Reisterstown Rd Ste LL2
Baltimore, MD 21215-2686

Phone

(800) 889-1796

Fax

(301) 830-5810

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ian Denver Jones

Title

President

Phone

(443) 631-6469

Specialties & licenses 1

Addresses

Other names 1

• Upcoming enterprize Corporation Former legal business name

Locations

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1669093829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE LL2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "800-889-1796",
            "fax_number": "301-830-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE LL2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "800-889-1796",
            "fax_number": "301-830-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPCOMING ENTERPRIZE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "DENVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-631-6469",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upcoming enterprize Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.