Organization Active NPI

Cross Way Mediquip

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1053697698
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 27, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
616120200OtherACS/USDDL/FECA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.