Saltgrass Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SALTGRASS MEDICAL EQUIPMENT LLC

Practice address

1100 Round Rock Ave Ste 107a
Round Rock, TX 78681-4517

Phone

(512) 963-6335

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lonnie David Blackburn

Title

President

Phone

(512) 963-6335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1053933572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUND ROCK AVE STE 107A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814517",
            "telephone_number": "512-963-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUND ROCK AVE STE 107A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814517",
            "telephone_number": "512-963-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTGRASS MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-963-6335"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gonzalo Salgado-Gonzalez, MD
• Ashley Nicole Salinas, LPC
• Jocelyn Salis
• Lauren Margaret Salling
• Melissa Salter, O.T.
• Sam Bass Family Dentistry PLLC
• Sam Bass Fire Department
• Sam's Club Optical (Sam's Club Optical 30-6259)
• Olubukola Sami
• Phyllis Apple Sample, B.C.B.A.

• Durable Medical Equipment & Medical Supplies in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.