Organization Active NPI

JCBC Incorporated

  • Customized Equipment (DME)
  • Houston, TX
National Provider Identifier
1043492564
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JCBC INCORPORATED
Practice address
12440 Oxford Park Dr Ste C-106
Houston, TX 77082-2792
Phone
(281) 493-4718
Fax
(281) 493-4716
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Ms. Celine T Dong
Title
President
Phone
(281) 493-4718

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

12440 Oxford Park Dr Ste C-106
Houston, TX 77082-2792

Mailing address

12440 Oxford Park Dr Ste C-106
Houston, TX 77082-2792
Phone (281) 493-4718

Other identifiers 3

IdentifierTypeStateIssuer
195956103MedicaidTX
195956101MedicaidTX
195956105MedicaidTX

Other names 1

  • AC MEDICAL SUPPLIES & EQUIPMENT Former legal business name

National Provider Directory

National Provider Directory

Locations

13711 Westheimer Rd
Ste J
Houston, TX 77077
Phone (281) 493-4718

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1043492564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 OXFORD PARK DR STE C-106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822792",
            "telephone_number": "281-493-4718",
            "fax_number": "281-493-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 OXFORD PARK DR STE C-106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822792",
            "telephone_number": "281-493-4718",
            "fax_number": "281-493-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCBC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "CELINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-493-4718",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195956103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195956101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195956105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AC MEDICAL SUPPLIES & EQUIPMENT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.