Organization Active NPI

Dmedicus LLC

  • Durable Medical Equipment & Medical Supplies
  • Rockwall, TX
National Provider Identifier
1174636559
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0071495 Issued in TX
Legal business name
DMEDICUS LLC
Doing business as
DMEDICUS
Practice address
108 E Rusk St # 103
Rockwall, TX 75087-3725
Phone
(469) 698-0250
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mr. Byrle William Darland Jr.
Title
President
Phone
(469) 698-9939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0071495 TX Primary

Addresses

Primary practice location

108 E Rusk St # 103
Rockwall, TX 75087-3725

Mailing address

1200 Lake Glen Cir
Rockwall, TX 75087-6009
Phone (469) 698-8806

Other names 1

  • DMEDICUS Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Ridge Rd
Ste 201
Rockwall, TX 75087
Phone (469) 698-0250

108 E Rusk St
#103
Rockwall, TX 75087
Phone (469) 698-0250

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1174636559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKE GLEN CIR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750876009",
            "telephone_number": "469-698-8806",
            "fax_number": "469-698-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E RUSK ST # 103",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873725",
            "telephone_number": "469-698-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMEDICUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "DARLAND",
        "authorized_official_first_name": "BYRLE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-698-9939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0071495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMEDICUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.