Organization Active NPI

One Source Medical Solutions, Inc.

  • Customized Equipment (DME)
  • Dallas, TX
National Provider Identifier
1144311531
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
0073041 Issued in TX
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

Updated by the provider on May 2, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
173266101MedicaidTX
173266102MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101001176 TX DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 3476747619 Practice locations: Dallas, 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
One Source Medical Solutions1523 Prudential Dr, Dallas, TX 75235-41112144217000103 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 assignmentParticipating since May 10, 2004

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.