Genesis Dwi Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GENESIS DWI SERVICES, LLC

Practice address

118 E Main St
Durham, NC 27701-3602

Phone

(919) 321-6643

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Latrice Freeman Dockery

Title

Owner

Phone

(919) 321-6643

Specialties & licenses 1

Addresses

Other names 1

• Genesis DWI Services, LLC Former legal business name

Locations

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1851692024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013602",
            "telephone_number": "919-321-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013602",
            "telephone_number": "919-321-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DWI SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_middle_name": "FREEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-321-6643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis DWI Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rhonda Marie Gempe, NP STUDENT
• Liza Isabel Genao, M.D.
• John T Geneczko Jr., M.D.
• General Medical Clinic,PA
• General Medical Practice and Urgent Care, PA
• Genesis Healthcare
• Kevin Carl Gengel, M.D.
• Alexis Mikal Genovese
• Christina Elizabeth Gentile
• Judith Gentile

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.