M.D.S. Interests, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1001719 Issued in TX

Legal business name

M.D.S. INTERESTS, LLC.

Doing business as

Ideal Shoes

Practice address

118 E Uvalde St
Crystal City, TX 78839-3510

Phone

(830) 854-2180

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Fernando Herrera, C.PED.

Title

Manager

Phone

(830) 854-2180

Specialties & licenses 1

Addresses

Other names 1

• Ideal Shoes Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174047922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E UVALDE ST",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393510",
            "telephone_number": "830-854-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E UVALDE ST",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393510",
            "telephone_number": "830-854-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.D.S. INTERESTS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "830-854-2180",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Crystal City, TX
• Providers in Crystal City, 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 Jul 21, 2022; 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.