Organization Active NPI

Odf Medical Transport

  • Ambulance
  • Grand Prairie, TX
National Provider Identifier
1164608915
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000446 Issued in TX
Legal business name
ODF MEDICAL TRANSPORT
Practice address
411 Merritt St
Grand Prairie, TX 75052-3337
Phone
(469) 223-0416
NPI assigned
Jan 10, 2008
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mr. Philip Sheridan Insco II
Title
Owner
Phone
(469) 223-0416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000446 TX Primary

Addresses

Primary practice location

411 Merritt St
Grand Prairie, TX 75052-3337

Mailing address

411 Merritt St
Grand Prairie, TX 75052-3337
Phone (469) 223-0416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1164608915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MERRITT ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523337",
            "telephone_number": "469-223-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MERRITT ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523337",
            "telephone_number": "469-223-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODF MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "INSCO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "SHERIDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-223-0416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.