Organization Active NPI

Comdt (CG-1122)

  • Other Technician
  • Washington, DC
National Provider Identifier
1942384383
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
COMDT (CG-1122)
Practice address
U S Coast Guard 2100 2ND St SW Ste 5314
Washington, DC 20593-0001
Phone
(707) 765-7200
Fax
(707) 765-7521
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Desiree Lorelei Dias
Title
Technician
Phone
(707) 765-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

U S Coast Guard 2100 2ND St SW Ste 5314
Washington, DC 20593-0001

Mailing address

U S Coast Guard 2100 2ND St SW Ste 5314
Washington, DC 20593-0001
Phone (707) 765-7200

National Provider Directory

National Provider Directory

Locations

2100 2nd St SW
Ste 5314
Washington, DC 20024
Phone (202) 267-0801

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1942384383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U S COAST GUARD 2100 2ND ST SW STE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "707-765-7200",
            "fax_number": "707-765-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U S COAST GUARD 2100 2ND ST SW STE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "707-765-7200",
            "fax_number": "707-765-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMDT (CG-1122)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "LORELEI",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "707-765-7200"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.