Ded Enterprises Entertainment

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

D07408423 Issued in AZ

Legal business name

DED ENTERPRISES ENTERTAINMENT

Practice address

901 S Country Club Dr Apt 2148
Mesa, AZ 85210-3590

Phone

(602) 354-1337

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. David Evan Den Boer, M.S., B.S.

Title

President

Phone

(602) 354-1337

Specialties & licenses 1

Addresses

Other names 1

• David Evan Den Fouw Former legal business name

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1922495977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S COUNTRY CLUB DR APT 2148",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103590",
            "telephone_number": "602-354-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S COUNTRY CLUB DR APT 2148",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103590",
            "telephone_number": "602-354-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DED ENTERPRISES ENTERTAINMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "DEN BOER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-354-1337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "D07408423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Evan Den Fouw",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cassandra Lynn Dechant, CCC-SLP
• Dana Lauren Decker, DMD, MPH
• Diana Decker, RDH
• Samantha Decker
• Zachary Decono, CPHT
• Christian Dedman
• Katharine G Defer, LAC
• Craig Brian Defries, D.C.
• Ashley Anne Degroff, PA-C
• Dawn Deguire, OTR

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.