Organization Active NPI

Randy L Smith Dba C&R Medical

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1124201629
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RANDY L SMITH DBA C&R MEDICAL
Practice address
2908 SE Loop 820
Fort Worth, TX 76140-1019
Phone
(817) 590-8166
Fax
(817) 590-8277
NPI assigned
Dec 7, 2007
Organization subpart
Yes
Parent organization
RANDY L SMITH DBA C&R MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Mr. Randy Lee SmithNPI 1336173632
Title
Owner
Phone
(817) 590-8166

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 Primary

Addresses

Primary practice location

2908 SE Loop 820
Fort Worth, TX 76140-1019

Mailing address

2908 SE Loop 820
Fort Worth, TX 76140-1019
Phone (817) 590-8166

Other identifiers 2

IdentifierTypeStateIssuer
187200402MedicaidTX
187200401MedicaidTX

Other names 1

  • C & R Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930042468 TX DME Supplier - Medical Supply Company 3072717628 Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
C & R Medical2908 SE Loop 820, Fort Worth, TX 76140-1019(817) 590-8166 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Dec 27, 2006

National Provider Directory

National Provider Directory
Part of
Randy L Smith

Locations

2908 SE Loop 820
Fort Worth, TX 76140
Phone (817) 590-8166

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1124201629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401019",
            "telephone_number": "817-590-8166",
            "fax_number": "817-590-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401019",
            "telephone_number": "817-590-8166",
            "fax_number": "817-590-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY L SMITH DBA C&R MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDY L SMITH DBA C&R MEDICAL",
        "enumeration_date": "2007-12-07",
        "last_updated": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-590-8166",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "187200402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187200401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & R Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.