Organization Active NPI

Primeworld Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Duncanville, TX
National Provider Identifier
1104064781
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000044 Issued in TX
Legal business name
PRIMEWORLD MEDICAL INC
Practice address
334 E Camp Wisdom Rd
Duncanville, TX 75116-2706
Phone
(972) 709-1670
Fax
(972) 709-1667
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Edwin M Oparaochaekwe
Title
Owner/Admin
Phone
(972) 709-1670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000044 TX Primary

Addresses

Primary practice location

334 E Camp Wisdom Rd
Duncanville, TX 75116-2706

Mailing address

334 E Camp Wisdom Rd
Duncanville, TX 75116-2706
Phone (972) 709-1670

Other identifiers 2

IdentifierTypeStateIssuer
214029502MedicaidTX
214029501MedicaidTX

National Provider Directory

National Provider Directory

Locations

334 E Camp Wisdom Rd
Duncanville, TX 75116
Phone (972) 709-1670

1106 N Highway
Ste 210
Grand Prairie, TX 75050
Phone (972) 522-6352

1300 W Walnut Hill Ln
Ste 210
Irving, TX 75038
Phone (817) 899-2503

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1104064781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E CAMP WISDOM RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162706",
            "telephone_number": "972-709-1670",
            "fax_number": "972-709-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E CAMP WISDOM RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162706",
            "telephone_number": "972-709-1670",
            "fax_number": "972-709-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEWORLD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "OPARAOCHAEKWE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "972-709-1670"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214029502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214029501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.