NPIMap

Organization Active NPI

Mustard Seeds Therapy, Inc

  • Developmental Disabilities Clinic/Center
  • Denton, TX
National Provider Identifier
1902119092
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MUSTARD SEEDS THERAPY, INC
Practice address
5014 Oak Bend Cir
Denton, TX 76208-3418
Phone
(817) 709-9031
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Mr. Wael Kanan
Title
Director
Phone
(817) 709-9031

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5014 Oak Bend Cir
Denton, TX 76208-3418

Mailing address

PO Box 114
Justin, TX 76247-0114
Phone (817) 709-9031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1902119092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762470114",
            "telephone_number": "817-709-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 OAK BEND CIR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762083418",
            "telephone_number": "817-709-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEEDS THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "KANAN",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-709-9031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.