Individual provider Active NPI

Tenishia Chintankwa, NON EMERGENCY TRANSP

  • Non-emergency Medical Transport (VAN)
  • Grand Prairie, TX
National Provider Identifier
1912304593
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
343900000X Issued in TX
Practice address
2403 Doreen St
Grand Prairie, TX 75050
Phone
(817) 484-8774
Fax
(972) 639-3263
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 343900000X TX Primary

Addresses

Primary practice location

2403 Doreen St
Grand Prairie, TX 75050

Mailing address

2403 Doreen St
Doreen St.
Grand Prairie, TX 75050-4911
Phone (817) 484-8774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
343900000XTXMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1912304593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 DOREEN ST",
            "address_2": "DOREEN ST.",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750504911",
            "telephone_number": "817-484-8774",
            "fax_number": "972-639-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 DOREEN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "817-484-8774",
            "fax_number": "972-639-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINTANKWA",
        "first_name": "TENISHIA",
        "credential": "NON EMERGENCY TRANSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.