Organization Active NPI

Rosemary Adelaja

Doing business as Abitol Micro-Med Supply

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1093741068
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROSEMARY ADELAJA
Doing business as
Abitol Micro-Med Supply
Practice address
10935 Estate LN
Ste S330
Dallas, TX 75238-2316
Phone
(214) 221-7155
Fax
(214) 221-7275
NPI assigned
Jun 23, 2006
Last updated
Sep 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Mrs. Rosemary Adelaja
Title
Owner
Phone
(214) 221-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10935 Estate LN
Ste S330
Dallas, TX 75238-2316

Mailing address

10935 Estate Lane
Ste S330
Dallas, TX 75238-2316
Phone (214) 221-7155

Other identifiers 2

IdentifierTypeStateIssuer
184471401MedicaidTX
184471402MedicaidTX

Other names 1

  • ABITOL MICRO-MED SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

10935 Estate Ln
Ste S330
Dallas, TX 75238
Phone (214) 221-7155

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1093741068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LANE",
            "address_2": "STE S330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "214-221-7155",
            "fax_number": "214-221-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN",
            "address_2": "STE S330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "214-221-7155",
            "fax_number": "214-221-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY ADELAJA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "ADELAJA",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-221-7155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184471401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184471402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABITOL MICRO-MED SUPPLY",
            "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 Sep 4, 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.