Organization Active NPI

Family DME Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1114424835
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DMEHS4918 Issued in TX
Legal business name
FAMILY DME SUPPLY LLC
Practice address
4101 McEwen Rd Ste 513
Dallas, TX 75244-5112
Phone
(469) 288-7337
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Mr. Michael NkemNPI 1669601449
Title
Managing Director
Phone
(469) 288-7337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DMEHS4918 TX Primary

Addresses

Primary practice location

4101 McEwen Rd Ste 513
Dallas, TX 75244-5112

Mailing address

4101 McEwen Rd Ste 513
Dallas, TX 75244-5248
Phone (469) 288-7337

National Provider Directory

National Provider Directory

Locations

4101 McEwen Rd
Ste 513
Dallas, TX 75244
Phone (469) 288-7337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1114424835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 513",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445248",
            "telephone_number": "469-288-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 513",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445112",
            "telephone_number": "469-288-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DME SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "NKEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "469-288-7337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "DMEHS4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 25, 2020; 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.