Dekoda Dewayne Ware Sr.

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Practice address

16921 S Western Ave Ste 203
Gardena, CA 90247-5250

Phone

(310) 523-3225

Fax

(310) 668-7185

NPI assigned

Feb 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1669612396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16921 S WESTERN AVE STE 203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475250",
            "telephone_number": "310-523-3225",
            "fax_number": "310-668-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16921 S WESTERN AVE STE 203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475250",
            "telephone_number": "310-523-3225",
            "fax_number": "310-668-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "DEKODA",
        "middle_name": "DEWAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Wang
• Teddy Wang
• Tzuyao Wang
• Yitao Wang
• Krista Ward, NONE
• Aysiah Sanai Warren, BCBA
• Rae Warren
• Jailah T Washington-Parrotte
• Anastacia La Donna Washington
• Antoinette Marie Washington

• Transportation Broker in Gardena, CA
• Providers in Gardena, CA by specialty
• Transportation Broker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.