Ai Community Services LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

AI COMMUNITY SERVICES LLC

Practice address

6928 Shoreway Dr
Grand Prairie, TX 75054

Phone

(682) 241-6128

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Mai Ngoc Truong

Title

Ceo

Phone

(682) 241-6128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962931220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6928 SHOREWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546848",
            "telephone_number": "682-241-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6928 SHOREWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75054",
            "telephone_number": "682-241-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AI COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-241-6128"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oluwatosin B Ajibola

• Preferred Provider Organization in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.