Organization Active NPI

Scooter Mart

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
National Provider Identifier
1154379980
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0044164 Issued in TX
Legal business name
SCOOTER MART
Practice address
5142 Richter St
BLDG a
Corpus Christi, TX 78415-2035
Phone
(361) 855-1212
Fax
(361) 855-1212
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mr. Randall Songer
Title
Owner
Phone
(361) 855-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0044164 TX Primary

Addresses

Primary practice location

5142 Richter St
BLDG a
Corpus Christi, TX 78415-2035

Mailing address

5142 Richter St
BLDG a
Corpus Christi, TX 78415-2035
Phone (361) 855-1212

Other identifiers 3

IdentifierTypeStateIssuer
010956302MedicaidTX
140663901MedicaidTX
531206OtherTXD.M.E.

National Provider Directory

National Provider Directory
Tax ID family
Scooter Mart Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1154379980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 RICHTER ST",
            "address_2": "BLDG A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152035",
            "telephone_number": "361-855-1212",
            "fax_number": "361-855-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5142 RICHTER ST",
            "address_2": "BLDG A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152035",
            "telephone_number": "361-855-1212",
            "fax_number": "361-855-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "SONGER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-855-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0044164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010956302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140663901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.M.E.",
            "identifier": "531206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.