Active NPI
Community Cab LLC
- Taxi
- Mesa, AZ
National Provider Identifier
1720359870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- BMF37026
- Legal business name
- COMMUNITY CAB LLC
- Practice address
- 1254 W Broadway Rd
Mesa, AZ 85202-1110 - Phone
- (480) 644-1000
- NPI assigned
- Jan 21, 2012
- Last updated
- Jan 21, 2012
- 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
- Ms. Dawn L Nowatzki, MANAGING MEMBER
- Title
- Managing Member
- Phone
- (480) 644-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | BMF37026 | AZ | Primary |
Addresses
Primary practice location
1254 W Broadway Rd
Mesa, AZ 85202-1110
Mailing address
1254 W Broadway Rd
Mesa, AZ 85202-1110
Phone (480) 644-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 661523 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
1254 W Broadway Rd
Mesa, AZ 85202
Phone (480) 644-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327104000000",
"number": "1720359870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 W BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852021110",
"telephone_number": "480-644-1000",
"fax_number": "480-644-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 W BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852021110",
"telephone_number": "480-644-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-21",
"last_updated": "2012-01-21",
"status": "A",
"authorized_official_last_name": "NOWATZKI",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "480-644-1000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MANAGING MEMBER"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "AZ",
"license": "BMF37026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "661523",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Community Bridges, Inc. (East Valley Addiction Recovery Center (EVARC))
- Community Bridges, Inc. (Center for Hope)
- Community Bridges, Inc. (CBI - Consults Renaissance Aspire)
- Community Bridges, Inc. (ACT Mesa Heritage)
- Community Bridges, Inc. (Community Psychiatric Emergency Center (CPEC))
- Community Clinical Pharmacy LLC
- Community Direct LLC
- Community Drugstore II LLC (Community Pharmacy II)
- Community Hope Wellness Center (Community Hope Wellness Center LLC)
- Community Impact Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.