Organization Active NPI

Feeding and Dysphagia Resources PC

  • Speech-Language Pathologist
  • Providence Village, TX
National Provider Identifier
1700073079
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FEEDING AND DYSPHAGIA RESOURCES PC
Practice address
1105 Live Oak Dr
Providence Village, TX 76227-5491
Phone
(214) 538-7328
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Susan Sowder, CPC, CCP
Title
Coo
Phone
(940) 384-6238

Specialties & licenses 1

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

Addresses

Primary practice location

1105 Live Oak Dr
Providence Village, TX 76227-5491

Mailing address

PO Box 2023
Denton, TX 76202-2023
Phone (940) 384-6238

Other identifiers 1

IdentifierTypeStateIssuer
0026QKOtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1700073079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762022023",
            "telephone_number": "940-384-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 LIVE OAK DR",
            "city": "PROVIDENCE VILLAGE",
            "state": "TX",
            "postal_code": "762275491",
            "telephone_number": "214-538-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEEDING AND DYSPHAGIA RESOURCES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SOWDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "940-384-6238",
        "authorized_official_credential": "CPC, CCP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0026QK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.