NPIMap

Organization Active NPI

Jalopy Shoppe, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Henderson, TX
National Provider Identifier
1073538989
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JALOPY SHOPPE, INC.
Doing business as
PRAXAIR HEALTHCARE SERVICES
Practice address
209 US Highway 79 N
Henderson, TX 75652-2645
Phone
(903) 655-0736
Fax
(409) 657-5792
NPI assigned
Jul 12, 2006
Reactivated
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Scott Kaltrider
Title
President
Phone
(203) 837-2330

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

209 US Highway 79 N
Henderson, TX 75652-2645

Mailing address

PO Box 121119
Dept 1119
Dallas, TX 75312-0001
Phone (409) 951-6437

Other identifiers 2

IdentifierTypeStateIssuer
0117228-01MedicaidTX
1391773-08MedicaidTX

Other names 1

  • PRAXAIR HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jalopy Shoppe Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

209 US Highway 79 N
Henderson, TX 75652
Phone (903) 655-0736

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1073538989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121119",
            "address_2": "DEPT 1119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "409-951-6437",
            "fax_number": "409-654-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 US HIGHWAY 79 N",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756522645",
            "telephone_number": "903-655-0736",
            "fax_number": "409-657-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALOPY SHOPPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-02-11",
        "deactivation_date": "2008-12-09",
        "reactivation_date": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "KALTRIDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-837-2330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117228-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391773-08",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAXAIR HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.