Active NPI
Assured Medical Equipment and Supplies
- Durable Medical Equipment & Medical Supplies
- Desoto, TX
National Provider Identifier
1124205703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0066994
- Legal business name
- ASSURED MEDICAL EQUIPMENT AND SUPPLIES
- Practice address
- 1704 N Hampton Rd
Suite #207
Desoto, TX 75115-8623 - Phone
- (972) 224-4500
- NPI assigned
- Jan 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth D Opaleye
- Title
- Dir of Operation
- Phone
- (972) 224-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0066994 | TX | Primary |
Addresses
Primary practice location
1704 N Hampton Rd
Suite #207
Desoto, TX 75115-8623
Mailing address
1704 N Hampton Rd
Suite #207
Desoto, TX 75115-8623
Phone (972) 224-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166130802 | Medicaid | TX |
Other names 1
- Assured Medical Equipment and Supplies
National Provider Directory
National Provider Directory- Tax ID family
- Assured Medical Equipment and Supplies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Desoto, TX
- NPI 1790860344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1124205703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 N HAMPTON RD",
"address_2": "SUITE #207",
"city": "DESOTO",
"state": "TX",
"postal_code": "751158623",
"telephone_number": "972-224-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 N HAMPTON RD",
"address_2": "SUITE #207",
"city": "DESOTO",
"state": "TX",
"postal_code": "751158623",
"telephone_number": "972-224-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURED MEDICAL EQUIPMENT AND SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-26",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "OPALEYE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIR OF OPERATION",
"authorized_official_telephone_number": "972-224-4500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0066994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166130802",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Assured Medical Equipment and Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.