Terdell Mychal Dawes

Primary specialty

Private VehicleTaxonomy code 347C00000X

Practice address

Pigeon Springs Nha Housing 062
Fort Defiance, AZ 86504

Phone

(928) 729-2130

Fax

(928) 729-5475

NPI assigned

Mar 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dine' Transport

  • Private Vehicle
  • Fort Defiance, AZ
  • NPI 1699017491
  NPD (past) Authorized official

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1952642647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "SAINT MICHAELS",
            "state": "AZ",
            "postal_code": "865110074",
            "telephone_number": "928-729-2130",
            "fax_number": "928-729-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PIGEON SPRINGS NHA HOUSING 062",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-2130",
            "fax_number": "928-729-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWES",
        "first_name": "TERDELL",
        "middle_name": "MYCHAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Iva Davis, RN
• Galena M. Davis, CRT
• Gary S Davis
• William Duncan Davis III, MD
• Dana Daw, CRT
• Rosemarie Landingin De Guzman, RN
• Jocelyn Villanueva De Luna, RN
• David Deal
• Barbara Lisa Defirmian, MD
• Paul Raymond Del Bianco, MD

• Private Vehicle in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Private Vehicle in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.