Organization Active NPI

Disability Advocacy and Information Services, Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1841317591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DISABILITY ADVOCACY AND INFORMATION SERVICES, INC.
Practice address
8064 N Point Blvd
Suite 102
Winston Salem, NC 27106-3235
Phone
(336) 896-0900
Fax
(336) 896-0901
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan A Reeves
Title
President
Phone
(336) 896-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8064 N Point Blvd
Suite 102
Winston Salem, NC 27106-3235

Mailing address

8064 N Point Blvd
Suite 102
Winston Salem, NC 27106-3235
Phone (336) 896-0900

Other identifiers 1

IdentifierTypeStateIssuer
8300334GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Disability Advocacy and Information Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8064 N Point Blvd
Ste 102
Winston Salem, NC 27106
Phone (336) 896-0900

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841317591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8064 N POINT BLVD",
            "address_2": "SUITE 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063235",
            "telephone_number": "336-896-0900",
            "fax_number": "336-896-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8064 N POINT BLVD",
            "address_2": "SUITE 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063235",
            "telephone_number": "336-896-0900",
            "fax_number": "336-896-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY ADVOCACY AND INFORMATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-896-0900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300334G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.