Organization Active NPI

MRT

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1174568448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MRT
Practice address
12035 Shiloh Rd
Dallas, TX 75228-1597
Phone
(972) 417-6959
Fax
(972) 417-6990
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shannon Steen
Title
Office Manager
Phone
(972) 417-6959

Specialties & licenses 1

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

Addresses

Primary practice location

12035 Shiloh Rd
Dallas, TX 75228-1597

Mailing address

12035 Shiloh Rd
Dallas, TX 75228-1597
Phone (972) 417-6959

Other identifiers 1

IdentifierTypeStateIssuer
4773690001MedicaidTX

National Provider Directory

National Provider Directory

Locations

12035 Shiloh Rd
Dallas, TX 75228
Phone (972) 289-2273

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174568448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 SHILOH RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752281597",
            "telephone_number": "972-417-6959",
            "fax_number": "972-417-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12035 SHILOH RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752281597",
            "telephone_number": "972-417-6959",
            "fax_number": "972-417-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEEN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-417-6959"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4773690001",
            "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 Aug 22, 2020; 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.