Active NPI
One Source Medical Solutions, Inc.
- Customized Equipment (DME)
- Dallas, TX
National Provider Identifier
1144311531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 0073041
- Legal business name
- ONE SOURCE MEDICAL SOLUTIONS, INC.
- Practice address
- 1523 Prudential Dr
Dallas, TX 75235-4111 - Phone
- (214) 421-7000
- Fax
- (214) 421-7001
- NPI assigned
- Sep 28, 2006
- 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
- Mrs. Jennifer Wilson
- Title
- General Manager
- Phone
- (214) 421-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0073041 | TX | |
| Customized Equipment (DME) | 332BC3200X | 0073041 | TX | Primary |
Addresses
Primary practice location
1523 Prudential Dr
Dallas, TX 75235-4111
Mailing address
1523 Prudential Dr
Dallas, TX 75235-4111
Phone (214) 421-7000
Other practice location 1
11520 N Central Expy
Suite 233
Dallas, TX 75243-6605
Phone (214) 421-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173266101 | Medicaid | TX | |
| 173266102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101101001176 | TX | DME Supplier - Medical Supply Company With Orthotic Personnel | 3476747619 | Practice locations: Dallas, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| One Source Medical Solutions | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1555 W Mockingbird Ln
Ste 210
Dallas, TX 75235
Phone (214) 421-7000
1523 Prudential Dr
Dallas, TX 75235
Phone (214) 421-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1144311531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 PRUDENTIAL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752354111",
"telephone_number": "214-421-7000",
"fax_number": "214-421-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 PRUDENTIAL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752354111",
"telephone_number": "214-421-7000",
"fax_number": "214-421-7001"
}
],
"practiceLocations": [
{
"address_1": "11520 N Central Expy",
"address_2": "Suite 233",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752436605",
"country_code": "US",
"telephone_number": "214-421-7000",
"fax_number": "214-421-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ONE SOURCE MEDICAL SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "214-421-7000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0073041",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "0073041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173266101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173266102",
"state": "TX"
}
],
"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 2, 2024; 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.