Organization Active NPI

Dare Greatly Tech Systems LLC

  • Electrodiagnostic Medicine Physician
  • Gadsden, AL
National Provider Identifier
1679234850
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
DARE GREATLY TECH SYSTEMS LLC
Practice address
328 Wildwood Road
Gadsden, AL 35901
Phone
(214) 865-6310
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Doreen Shinn
Title
Manager
Phone
(214) 865-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X Primary

Addresses

Primary practice location

328 Wildwood Road
Gadsden, AL 35901

Mailing address

3331 Rainbow Dr. Ste E #539
Rainbow City, AL 35906
Phone (214) 865-6310

National Provider Directory

National Provider Directory

Locations

3331 Rainbow Dr
Ste E
Rainbow City, AL 35906
Phone (256) 695-0553

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1679234850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 RAINBOW DR. STE E #539",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "35906",
            "telephone_number": "214-865-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WILDWOOD ROAD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35901",
            "telephone_number": "214-865-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE GREATLY TECH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-865-6310"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.