Active NPI
Cross Way Mediquip
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1053697698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CROSS WAY MEDIQUIP
- Practice address
- 3102 Kinmore St.
Dallas, TX 75223 - Phone
- (817) 240-9208
- NPI assigned
- Oct 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mayra Reyna
- Title
- Owner/Operator
- Phone
- (817) 240-9208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3102 Kinmore St.
Dallas, TX 75223
Mailing address
P.O. Box 630857
Irving, TX 75063
Phone (817) 240-9208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616120200 | Other | ACS/USDDL/FECA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1053697698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 630857",
"city": "IRVING",
"state": "TX",
"postal_code": "75063",
"telephone_number": "817-240-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 KINMORE ST.",
"city": "DALLAS",
"state": "TX",
"postal_code": "75223",
"telephone_number": "817-240-9208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS WAY MEDIQUIP",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "REYNA",
"authorized_official_first_name": "MAYRA",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "817-240-9208",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS/USDDL/FECA",
"identifier": "616120200",
"state": null
}
],
"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 Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.