Organization Active NPI

Zenith Medical Supplies and Equipment Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1174737019
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
95934 Issued in TX
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

Updated by the provider on Aug 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
188798602MedicaidTX
188798601MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.