Organization Active NPI

Atlas Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1013397306
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000575 Issued in TX
Legal business name
ATLAS MEDICAL EQUIPMENT
Practice address
11615 Forest Central Dr
Suite 321
Dallas, TX 75243-3921
Phone
(214) 342-8888
Fax
(214) 342-9999
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Mr. Emmanuel Ifeanyi Ogbolu
Title
Director
Phone
(214) 342-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000575 TX Primary

Addresses

Primary practice location

11615 Forest Central Dr
Suite 321
Dallas, TX 75243-3921

Mailing address

11615 Forest Central Dr
Suite 321
Dallas, TX 75243-3921
Phone (214) 342-8888

National Provider Directory

National Provider Directory

Locations

11615 Forest Central Dr
Ste 321
Dallas, TX 75243
Phone (214) 342-8888

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1013397306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 FOREST CENTRAL DR",
            "address_2": "SUITE 321",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433921",
            "telephone_number": "214-342-8888",
            "fax_number": "214-342-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 FOREST CENTRAL DR",
            "address_2": "SUITE 321",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433921",
            "telephone_number": "214-342-8888",
            "fax_number": "214-342-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "OGBOLU",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-342-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000575",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2015; 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.