Organization Active NPI

DCB Therapies LLC

  • Speech-Language Pathologist
  • St Louis Park, MN
National Provider Identifier
1679026603
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8692 Issued in MN
Legal business name
DCB THERAPIES LLC
Practice address
2620 Monterey Ave
St Louis Park, MN 55416-3910
Phone
(612) 816-4863
NPI assigned
Jul 26, 2016
Last updated
Jul 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dena Bitterman
Title
Owner
Phone
(612) 816-4863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 8692 MN Primary

Addresses

Primary practice location

2620 Monterey Ave
St Louis Park, MN 55416-3910

Mailing address

2620 Monterey Ave
St Louis Park, MN 55416-3910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1679026603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MONTEREY AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 MONTEREY AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163910",
            "telephone_number": "612-816-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCB THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "BITTERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-816-4863"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.