Organization Active NPI

Paco Medical Equipment & Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1003845199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACO MEDICAL EQUIPMENT & SUPPLIES INC.
Practice address
9450 Skillman St
Suite 104
Dallas, TX 75243-8286
Phone
(214) 221-0560
Fax
(214) 221-6124
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cajetan Okezie Okpokpo
Title
Ceo
Phone
(214) 221-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary

Addresses

Primary practice location

9450 Skillman St
Suite 104
Dallas, TX 75243-8286

Mailing address

9450 Skillman St
Suite 104
Dallas, TX 75243-8286
Phone (214) 221-0560

Other identifiers 1

IdentifierTypeStateIssuer
1770083MedicaidTX

National Provider Directory

National Provider Directory

Locations

9450 Skillman St
Ste 104
Dallas, TX 75243
Phone (214) 221-0560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003845199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SKILLMAN ST",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438286",
            "telephone_number": "214-221-0560",
            "fax_number": "214-221-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 SKILLMAN ST",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438286",
            "telephone_number": "214-221-0560",
            "fax_number": "214-221-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACO MEDICAL EQUIPMENT & SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKPOKPO",
        "authorized_official_first_name": "CAJETAN",
        "authorized_official_middle_name": "OKEZIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-221-0560"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770083",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.