NPIMap

Organization Active NPI

Delrose Medical Equipment & Supply,Inc

  • Durable Medical Equipment & Medical Supplies
  • Richardson, TX
National Provider Identifier
1023325610
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
217057303 Issued in TX
Legal business name
DELROSE MEDICAL EQUIPMENT & SUPPLY,INC
Practice address
811 S Central Expy
Suite 541
Richardson, TX 75080-7415
Phone
(972) 699-9200
Fax
(972) 699-9207
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Igna Ike Ugoh, RRT,RCPNPI 1164653515
Title
Director
Phone
(972) 699-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 217057303 TX Primary
Customized Equipment (DME) 332BC3200X 217057301 TX
Oxygen Equipment & Supplies (DME) 332BX2000X TX
Oxygen Equipment & Supplies (DME) 332BX2000X 217057302 TX

Addresses

Primary practice location

811 S Central Expy
Suite 541
Richardson, TX 75080-7415

Mailing address

811 S Central Expy
Suite 541
Richardson, TX 75080-7415
Phone (972) 699-9200

Other identifiers 3

IdentifierTypeStateIssuer
217057302MedicaidTX
217057301MedicaidTX
217057303MedicaidTX

National Provider Directory

National Provider Directory

Locations

811 S Central Expy
Ste 541
Richardson, TX 75080
Phone (972) 699-9200

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": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023325610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY",
            "address_2": "SUITE 541",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807415",
            "telephone_number": "972-699-9200",
            "fax_number": "972-699-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY",
            "address_2": "SUITE 541",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807415",
            "telephone_number": "972-699-9200",
            "fax_number": "972-699-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELROSE MEDICAL EQUIPMENT & SUPPLY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "UGOH",
        "authorized_official_first_name": "IGNA",
        "authorized_official_middle_name": "IKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-699-9200",
        "authorized_official_credential": "RRT,RCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "217057303",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "217057301",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "217057302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217057302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217057301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217057303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.