Active NPI
Destin Housecalls, LLC
- Clinic/Center
- Destin, FL
National Provider Identifier
1861558686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- DESTIN HOUSECALLS, LLC
- Practice address
- 622 Mountain Dr
Destin, FL 32541-2429 - Phone
- (850) 830-3012
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Chern, MD
- Title
- MGR
- Phone
- (850) 830-3012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
622 Mountain Dr
Destin, FL 32541-2429
Mailing address
622 Mountain Dr
Destin, FL 32541-2429
Phone (850) 830-3012
National Provider Directory
National Provider Directory- Tax ID family
- Community Care Services
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861558686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 MOUNTAIN DR",
"city": "DESTIN",
"state": "FL",
"postal_code": "325412429",
"telephone_number": "850-830-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 MOUNTAIN DR",
"city": "DESTIN",
"state": "FL",
"postal_code": "325412429",
"telephone_number": "850-830-3012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTIN HOUSECALLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHERN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "850-830-3012",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
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.