Organization Active NPI

Dega Ultrasound, LLC

  • Physiological Laboratory
  • Denton, TX
National Provider Identifier
1790352912
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
DEGA ULTRASOUND, LLC
Practice address
3322 Colorado Blvd Ste 102
Denton, TX 76210-6889
Phone
(950) 566-6666
Fax
(940) 387-3692
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Mrs. Erika Janice Johler, RDCSNPI 1871160184
Title
Lead Tech/Owner
Phone
(207) 768-1479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

3322 Colorado Blvd Ste 102
Denton, TX 76210-6889

Mailing address

PO Box 111307
Carrollton, TX 75011-1307
Phone (207) 768-1479

National Provider Directory

National Provider Directory

Locations

3322 Colorado Blvd
Ste 102
Denton, TX 76210
Phone (207) 768-1479

Practitioners & affiliated clinicians

Practitioners 1

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": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1790352912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111307",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750111307",
            "telephone_number": "207-768-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 COLORADO BLVD STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106889",
            "telephone_number": "950-566-6666",
            "fax_number": "940-387-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGA ULTRASOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "JOHLER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "LEAD TECH/OWNER",
        "authorized_official_telephone_number": "207-768-1479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.