Provider Demographics
NPI:1649659350
Name:DMD ENTERPRISES INC
Entity type:Organization
Organization Name:DMD ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-528-9828
Mailing Address - Street 1:2958 99TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-5507
Mailing Address - Country:US
Mailing Address - Phone:515-528-9828
Mailing Address - Fax:
Practice Address - Street 1:5322 69TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-6936
Practice Address - Country:US
Practice Address - Phone:515-306-7434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health