Jerry Ike

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0071940 Issued in TX

Legal business name

JERRY IKE

Practice address

2306 Oak LN.
Ste 16
Grand Prairie, TX 75051

Phone

(972) 262-7752

Fax

(972) 237-0430

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jerry J Ike

Title

President

Phone

(972) 262-7752

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• KENLINK MEDICAL EQUIPMENT & SUPPLIE Doing business as

Locations

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1154312148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 OAK LN., STE 16",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75051",
            "telephone_number": "972-262-7752",
            "fax_number": "972-237-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 OAK LN.",
            "address_2": "STE 16",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75051",
            "telephone_number": "972-262-7752",
            "fax_number": "972-237-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY IKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "IKE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-262-7752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0071940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI 170054401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI 170054402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENLINK MEDICAL EQUIPMENT & SUPPLIE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Jeffers-Bravo
• Adejoke B. Jegede, PH.D.
• Joshua Odell Jenkins
• Jacqueline Jernigan
• Jerry F Gurkoff, D. O. P.a.
• Priyanka Jethwani, MD
• Jewels Loving Care Homes
• JHH DME
• Priya Jimmy, MD
• Chiawuotu Onyeozirile Jiwuaku

• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.