City of Highland Village

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

61002 Issued in TX

Legal business name

CITY OF HIGHLAND VILLAGE

Doing business as

Highland Village Fire Department

Practice address

1200 Highland Village Rd
Highland Village, TX 75077-6748

Phone

(972) 317-0890

Fax

(972) 317-3913

NPI assigned

Nov 1, 2006

Last updated

Jul 4, 2024By 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

Kevin Gosselin

Title

Chief

Phone

(972) 317-4890

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Highland Village Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1780762765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGHLAND VILLAGE RD",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776748",
            "telephone_number": "972-317-0890",
            "fax_number": "972-317-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHLAND VILLAGE RD",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776748",
            "telephone_number": "972-317-0890",
            "fax_number": "972-317-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HIGHLAND VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "GOSSELIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "972-317-4890"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "61002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000231301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "508711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Village Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherry Chandi, MD
• CHC Highland Village, LLC (Connected Health Centers)
• Waneta Lee Chenault, D.D.S.
• Cherry Chandi, M.D., P.a.
• Christina Dellanebbia PHD Inc (Christina Dellnebbia, PHD)
• Jason Clapp, D.D.S., P.A.
• Marla Rae Conger, M.D.
• Amy Elizabeth Cox, D.C.
• Kristen Crawford, M.D.
• Kathryn Danae Crume, LPC, NCC

• Land Ambulance in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.