Individual provider Active NPI

Patricia Ann Jones

  • Oxygen Equipment & Supplies (DME)
  • Mesquite, TX
National Provider Identifier
1013935014
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0089506 Issued in TX
Practice address
3129 Interstate 30
Suite a
Mesquite, TX 75150-2701
Phone
(972) 279-9702
Fax
(972) 279-9705
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 0089506 TX
Dialysis Equipment & Supplies (DME) 332BD1200X 0089506 TX
Nursing Facility Supplies (DME) 332BN1400X 0089506 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0089506 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0089506 TX Primary

Addresses

Primary practice location

3129 Interstate 30
Suite a
Mesquite, TX 75150-2701

Mailing address

3129 Interstate 30
Suite a
Mesquite, TX 75150-2701
Phone (972) 279-9702

Other identifiers 2

IdentifierTypeStateIssuer
183877301MedicaidTX
183877302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0089506TXMDNursing Facility Supplies (DME)

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Medical Supply & Equipment, Inc. Oxygen Equipment & Supplies Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1013935014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 INTERSTATE 30",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502701",
            "telephone_number": "972-279-9702",
            "fax_number": "972-279-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 INTERSTATE 30",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502701",
            "telephone_number": "972-279-9702",
            "fax_number": "972-279-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0089506",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "TX",
            "license": "0089506",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "0089506",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0089506",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0089506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183877301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183877302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.