NPIMap

Organization Active NPI

DDT Enterprises, Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1861518805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3408290 Issued in NC
Legal business name
DDT ENTERPRISES, INC.
Practice address
5587 Son Tay CT
Fayetteville, NC 28311-2246
Phone
(910) 717-6329
Fax
(910) 717-6329
NPI assigned
Mar 21, 2007
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
Denise Smith
Title
Director
Phone
(910) 717-6329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3408290 NC Primary

Addresses

Primary practice location

5587 Son Tay CT
Fayetteville, NC 28311-2246

Mailing address

5587 Son Tay CT
Fayetteville, NC 28311-2246
Phone (910) 717-6329

Other identifiers 1

IdentifierTypeStateIssuer
3408290MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Project Independence6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861518805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5587 SON TAY CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112246",
            "telephone_number": "910-717-6329",
            "fax_number": "910-717-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5587 SON TAY CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112246",
            "telephone_number": "910-717-6329",
            "fax_number": "910-717-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDT ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-717-6329"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "3408290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408290",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, 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.