Healthcare Provider Details

I. General information

NPI: 1568229631
Provider Name (Legal Business Name): DAP MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517B NEWTON PL
HIGH POINT NC
27262-4839
US

IV. Provider business mailing address

265 EASTCHESTER DR. SUITE 109 #1029
HIGH POINT NC
27262-4839
US

V. Phone/Fax

Practice location:
  • Phone: 336-543-0944
  • Fax:
Mailing address:
  • Phone: 336-543-0944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. MONTANNA DEVANE
Title or Position: OWNER
Credential:
Phone: 336-543-0944