DGB Support ENT

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

DGB SUPPORT ENT

Practice address

2320 Blue Smoke CT N
Fort Worth, TX 76105-1003

Phone

(817) 534-4448

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doris Benjamin

Title

Program Manager

Phone

(817) 534-4448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1700162161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BLUE SMOKE CT N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BLUE SMOKE CT N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051003",
            "telephone_number": "817-534-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DGB SUPPORT ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "817-534-4448"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.