Organization Active NPI

City of Carrollton

  • Land Ambulance
  • Carrollton, TX
National Provider Identifier
1033240718
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF CARROLLTON
Practice address
1945 E Jackson Rd
Carrollton, TX 75006-1737
Phone
(972) 466-4746
Fax
(972) 389-9523
NPI assigned
Mar 7, 2007
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Jeffrey Glenn
Title
Chief
Phone
(972) 466-3070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X 057012 TX
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1945 E Jackson Rd
Carrollton, TX 75006-1737

Mailing address

PO Box 115125
Carrollton, TX 75011
Phone (972) 466-4746

Other identifiers 2

IdentifierTypeStateIssuer
0863458-01MedicaidTX
=========OtherTXFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000147 TX Part B Supplier - Ambulance Service Supplier 2567622848 Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

1115 W Rosemeade Pkwy
Carrollton, TX 75007
Phone (214) 243-0327

1623 E Belt Line Rd
Carrollton, TX 75006
Phone (214) 243-0327

1945 E Jackson Rd
Carrollton, TX 75006
Phone (214) 243-0327

2255 Marsh Ln
Carrollton, TX 75006
Phone (214) 243-0327

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1033240718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115125",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75011",
            "telephone_number": "972-466-4746",
            "fax_number": "972-389-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 E JACKSON RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061737",
            "telephone_number": "972-466-4746",
            "fax_number": "972-389-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CARROLLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "972-466-3070"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "057012",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0863458-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "=========",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.