CGC Enterprises LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

802619502 Issued in TX

Legal business name

CGC ENTERPRISES LLC

Doing business as

Select Transportation

Practice address

4101 W Green Oaks Blvd # 305-489
Arlington, TX 76016-4462

Phone

(817) 264-6267

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By 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

Mr. Corey Shepard

Title

Regional Manager

Phone

(817) 264-6267

Specialties & licenses 1

Addresses

Other names 1

• Select Transportation Doing business as

Locations

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1801321112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W GREEN OAKS BLVD # 305-489",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164462",
            "telephone_number": "817-264-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W GREEN OAKS BLVD # 305-489",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164462",
            "telephone_number": "817-264-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGC ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "817-264-6267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "802619502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramiro Cerda
• Brian Cermak
• Cerulean Koi LLC
• Veronica Cervantes, LPC
• Shannon Coyle Cestari, DDS
• CGL Solutions - Medical Supply
• Mariah Chadwick
• Anthony Chae, DDS
• Jinping Chai, MD
• Katherine Chaisson, MS, CCC-SLP

• Non-emergency Medical Transport (VAN) in Arlington, TX
• Providers in Arlington, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.