Active NPI
Zenith Medical Supplies and Equipment Inc.
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1174737019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 95934
- Legal business name
- ZENITH MEDICAL SUPPLIES AND EQUIPMENT INC.
- Practice address
- 13999 Goldmark Dr
Suite 304
Dallas, TX 75240-4267 - Phone
- (972) 664-0555
- Fax
- (972) 664-0556
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chukwuemeka E Ifenwanta
- Title
- President
- Phone
- (972) 664-0555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 95934 | TX | Primary |
Addresses
Primary practice location
13999 Goldmark Dr
Suite 304
Dallas, TX 75240-4267
Mailing address
13999 Goldmark Dr
Suite 304
Dallas, TX 75240-4234
Phone (972) 664-0555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188798602 | Medicaid | TX | |
| 188798601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
13999 Goldmark Dr
Ste 304
Dallas, TX 75240
Phone (972) 664-0555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1174737019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13999 GOLDMARK DR",
"address_2": "SUITE 304",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404234",
"telephone_number": "972-664-0555",
"fax_number": "972-664-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13999 GOLDMARK DR",
"address_2": "SUITE 304",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404267",
"telephone_number": "972-664-0555",
"fax_number": "972-664-0556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZENITH MEDICAL SUPPLIES AND EQUIPMENT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "IFENWANTA",
"authorized_official_first_name": "CHUKWUEMEKA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-664-0555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "95934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188798602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188798601",
"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 25, 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.