Organization Active NPI

Biodezyne Center of Victoria

  • Registered Dietitian
  • Victoria, TX
National Provider Identifier
1821543497
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BIODEZYNE CENTER OF VICTORIA
Practice address
4206 N Ben Jordan St
Victoria, TX 77901-3076
Phone
(361) 573-4711
Fax
(361) 573-4065
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
James N Jarrett Jr.
Title
Primary Provider
Phone
(361) 573-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4206 N Ben Jordan St
Victoria, TX 77901-3076

Mailing address

4206 N Ben Jordan St
Victoria, TX 77901-3076
Phone (361) 573-4711

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1821543497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 N BEN JORDAN ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013076",
            "telephone_number": "361-573-4711",
            "fax_number": "361-573-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 N BEN JORDAN ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013076",
            "telephone_number": "361-573-4711",
            "fax_number": "361-573-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIODEZYNE CENTER OF VICTORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRIMARY  PROVIDER",
        "authorized_official_telephone_number": "361-573-4711",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.