Organization Active NPI

Community Cab LLC

  • Taxi
  • Mesa, AZ
National Provider Identifier
1720359870
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
BMF37026 Issued in AZ
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
661523MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.