Active NPI
T&M Developmental Transportation Services LLC
- Private Vehicle
- Dayton, OH
National Provider Identifier
1679068803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- T&M DEVELOPMENTAL TRANSPORTATION SERVICES LLC
- Practice address
- 6940 Deer Bluff Dr
Dayton, OH 45424-7039 - Phone
- (937) 545-5410
- NPI assigned
- Jun 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jermaine Christopher Tims
- Title
- Ceo
- Phone
- (937) 545-5410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
6940 Deer Bluff Dr
Dayton, OH 45424-7039
Mailing address
6940 Deer Bluff Dr
Dayton, OH 45424-7039
Phone (937) 545-5410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102921 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530230400000",
"number": "1679068803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 DEER BLUFF DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454247039",
"telephone_number": "937-545-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940 DEER BLUFF DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454247039",
"telephone_number": "937-545-5410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T&M DEVELOPMENTAL TRANSPORTATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A",
"authorized_official_last_name": "TIMS",
"authorized_official_first_name": "JERMAINE",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "937-545-5410"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102921",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.