Organization Active NPI

Dudley Enterprises

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1013070945
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
DUDLEY ENTERPRISES
Practice address
2521 Samford Ave
Shreveport, LA 71103-3727
Phone
(318) 459-1440
Fax
(318) 459-1439
NPI assigned
Dec 19, 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
Ms. Zell Dudley
Title
Owner
Phone
(318) 459-1440

Specialties & licenses 1

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

Addresses

Primary practice location

2521 Samford Ave
Shreveport, LA 71103-3727

Mailing address

PO Box 13524
Alexandria, LA 71315-3524
Phone (800) 815-0586

Other identifiers 1

IdentifierTypeStateIssuer
1259930001OtherLANSC NUMBER

National Provider Directory

National Provider Directory

Locations

2521 Samford Ave
Shreveport, LA 71103
Phone (318) 459-1440

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013070945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13524",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153524",
            "telephone_number": "800-815-0586",
            "fax_number": "318-445-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 SAMFORD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033727",
            "telephone_number": "318-459-1440",
            "fax_number": "318-459-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDLEY ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "ZELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-459-1440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC NUMBER",
            "identifier": "1259930001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

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.