DTD Development LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DTD DEVELOPMENT LLC

Practice address

7100 Trail Lake Dr.
Ft. Worth, TX 76133

Phone

(214) 608-4182

Fax

(817) 263-2220

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terence N. Boyd

Title

President

Phone

(214) 608-4182

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trail Lake Nursing and Rehab Doing business as

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1679586325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LONE OAK WAY",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 TRAIL LAKE DR.",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "214-608-4182",
            "fax_number": "817-263-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTD DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-608-4182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014648",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trail Lake Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesley M Drummond-Borg, MD
• Kimberly Jane Dryer, RDN, LD
• Tara Deanne Drysdale, RN
• DS Fortworth, PLLC
• Miranda Dsouza
• Tuan Q Du, MD
• Catherine Michelle Duarte, CPNP
• Duaz Enterprises LLC
• Daniel S Dube, MD
• Bruce D Dubin, DO

• Skilled Nursing Facility in Ft. Worth, TX
• Providers in Ft. Worth, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.