Ani Cdsa Limited Liability Company

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

ANI CDSA LIMITED LIABILITY COMPANY

Practice address

1145 Ranch Valley Dr
Desoto, TX 75115-3524

Phone

(972) 228-4100

Fax

(972) 228-4100

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Authorized official

Name

Oritsebemigho Edegbele

Title

Administrator

Phone

(972) 228-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1801130265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 RANCH VALLEY DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153524",
            "telephone_number": "972-228-4100",
            "fax_number": "972-228-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 RANCH VALLEY DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153524",
            "telephone_number": "972-228-4100",
            "fax_number": "972-228-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANI CDSA LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "EDEGBELE",
        "authorized_official_first_name": "ORITSEBEMIGHO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-228-4100"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Desoto, TX
• Supports Brokerage Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.