Organization Active NPI

Paradise Dreams Enterprises, LLC.

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1972098515
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PARADISE DREAMS ENTERPRISES, LLC.
Practice address
1350 Kelso Dunes Ave Apt 1121
Henderson, NV 89014-7858
Phone
(631) 903-7018
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Daria Ryan
Title
Owner
Phone
(631) 903-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1350 Kelso Dunes Ave Apt 1121
Henderson, NV 89014-7858

Mailing address

1350 Kelso Dunes Ave Apt 1121
Henderson, NV 89014-7858
Phone (631) 903-7018

Other identifiers 1

IdentifierTypeStateIssuer
1912190273MedicaidCA

Other names 1

  • Smart Start Speech Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1972098515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 KELSO DUNES AVE APT 1121",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147858",
            "telephone_number": "631-903-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KELSO DUNES AVE APT 1121",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147858",
            "telephone_number": "631-903-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE DREAMS ENTERPRISES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "DARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-903-7018"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912190273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Start Speech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.