Organization Active NPI

Dependacare of Austin

  • Customized Equipment (DME)
  • Austin, TX
National Provider Identifier
1073510574
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
0071814 Issued in TX
Legal business name
DEPENDACARE OF AUSTIN
Practice address
5321 Industrial Oaks Blvd
Suite # 121
Austin, TX 78735-8822
Phone
(512) 892-0405
Fax
(512) 892-0431
NPI assigned
Jun 30, 2005
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Ms. Lindee L Hendrix
Title
Ceo
Phone
(512) 944-9916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 0071814 TX Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0071814 TX

Addresses

Primary practice location

5321 Industrial Oaks Blvd
Suite # 121
Austin, TX 78735-8822

Mailing address

5321 Industrial Oaks Blvd
Suite # 121
Austin, TX 78735-8822
Phone (512) 892-0405

Other identifiers 1

IdentifierTypeStateIssuer
1662496-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

5321 Industrial Oaks Blvd
Ste 121
Austin, TX 78735
Phone (512) 892-0405

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1073510574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 INDUSTRIAL OAKS BLVD",
            "address_2": "SUITE # 121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358822",
            "telephone_number": "512-892-0405",
            "fax_number": "512-892-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 INDUSTRIAL OAKS BLVD",
            "address_2": "SUITE # 121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358822",
            "telephone_number": "512-892-0405",
            "fax_number": "512-892-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDACARE OF AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "LINDEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-944-9916",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0071814",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0071814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1662496-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.