Active NPI
Medhealth
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1063765832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDHEALTH
- Practice address
- 1411 N Beckley Ave
Pav III Ste#152
Dallas, TX 75203-1259 - Phone
- (214) 948-2076
- Fax
- (214) 948-9990
- NPI assigned
- Oct 18, 2012
- 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
- Tim Kirby
- Title
- President
- Phone
- (214) 947-4620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1411 N Beckley Ave
Pav III Ste#152
Dallas, TX 75203-1259
Mailing address
3400 W Wheatland Rd
Pav III Ste#360
Dallas, TX 75237-4418
Phone (214) 884-4700
Other names 1
- Methodist Brain and Spine Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000832 | TX | Part B Supplier - Clinic/Group Practice | 9931001567 |
Receives reassigned benefits from 617 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1063765832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W WHEATLAND RD",
"address_2": "PAV III STE#360",
"city": "DALLAS",
"state": "TX",
"postal_code": "752374418",
"telephone_number": "214-884-4700",
"fax_number": "214-884-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAV III STE#152",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "214-948-2076",
"fax_number": "214-948-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-18",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-947-4620"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Methodist Brain and Spine Institute",
"code": "3",
"type": "Doing Business As"
}
]
}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 29, 2013; 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.