Organization Active NPI

Takeflighttransportation

  • Driver
  • Modesto, CA
National Provider Identifier
1982581823
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
TAKEFLIGHTTRANSPORTATION
Practice address
912 Roselawn Ave
Modesto, CA 95351-3826
Phone
(209) 604-3246
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Mr. Demetrius Dion Bryant, CLASS A
Title
Driver
Phone
(209) 604-3246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

912 Roselawn Ave
Modesto, CA 95351-3826

Mailing address

912 Roselawn Ave
Modesto, CA 95351-3826
Phone (209) 604-3246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1982581823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 ROSELAWN AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513826",
            "telephone_number": "209-604-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 ROSELAWN AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513826",
            "telephone_number": "209-604-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKEFLIGHTTRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "DRIVER",
        "authorized_official_telephone_number": "209-604-3246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CLASS A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.