NPIMap

Organization Active NPI

Kingdoms Road, LLC

  • Secured Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1962235275
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
KINGDOMS ROAD, LLC
Practice address
3626 N Hall St Ste 610
Dallas, TX 75219-5131
Phone
(469) 232-7969
Fax
(469) 402-7562
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Tyson Terrell KingNPI 1174354856
Title
Owner
Phone
(863) 632-0560

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

3626 N Hall St Ste 610
Dallas, TX 75219-5131

Mailing address

3626 N Hall St Ste 610
Dallas, TX 75219-5131
Phone (469) 232-7969

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": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1962235275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "469-232-7969",
            "fax_number": "469-402-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "469-232-7969",
            "fax_number": "469-402-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOMS ROAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-632-0560"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2024; 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.