NPIMap

Organization Active NPI

Mt.Tekilo Transport LLC

  • Secured Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1962197293
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
MT.TEKILO TRANSPORT LLC
Practice address
11991 Audelia Rd Apt 604
Dallas, TX 75243-4935
Phone
(510) 379-0854
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Dawit TekieNPI 1427751023
Title
Owner
Phone
(510) 379-0854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

11991 Audelia Rd Apt 604
Dallas, TX 75243-4935

Mailing address

11991 Audelia Rd Apt 604
Dallas, TX 75243-4935
Phone (510) 379-0854

Other names 1

  • MT.TEKILO TRANSPORT LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1962197293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11991 AUDELIA RD APT 604",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434935",
            "telephone_number": "510-379-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11991 AUDELIA RD APT 604",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434935",
            "telephone_number": "510-379-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT.TEKILO TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "TEKIE",
        "authorized_official_first_name": "DAWIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-379-0854"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT.TEKILO TRANSPORT LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.