NPIMap

Organization Active NPI

Ry Jay Z LLC

Doing business as Diverse Care Clinic

  • General Practice Physician
  • Sherman, TX
National Provider Identifier
1760047617
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RY JAY Z LLC
Doing business as
Diverse Care Clinic
Practice address
3415 North Heritage Parkway
Sherman, TX 75092-6634
Phone
(903) 308-4336
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Ryan Zeestraten
Title
Owner
Phone
(903) 308-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3415 North Heritage Parkway
Sherman, TX 75092-6634

Mailing address

3415 North Heritage Parkway
Sherman, TX 75092-6634
Phone (903) 308-4336

Other names 1

  • DIVERSE CARE CLINIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1760047617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 NORTH HERITAGE PARKWAY",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926634",
            "telephone_number": "903-308-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 NORTH HERITAGE PARKWAY",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926634",
            "telephone_number": "903-308-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RY JAY Z LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "ZEESTRATEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-308-4336"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVERSE CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.