Organization Active NPI

Shalem Medical Supplies

  • Oxygen Equipment & Supplies (DME)
  • Fort Worth, TX
National Provider Identifier
1174791768
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SHALEM MEDICAL SUPPLIES
Practice address
707 North Fwy
Suite 120
Fort Worth, TX 76102-1702
Phone
(817) 698-9797
Fax
(817) 887-2305
NPI assigned
Feb 15, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SHALEM MEDICAL SUPPLIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mr. Johnson George
Title
Director-1
Phone
(972) 222-9263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

707 North Fwy
Suite 120
Fort Worth, TX 76102-1702

Mailing address

PO Box 850436
Mesquite, TX 75185-0436
Phone (817) 698-9797

National Provider Directory

National Provider Directory
Tax ID family
Shalem Medical Supplies Inc2 organizations share this tax ID, including this one
Part of
Shalem Medical Supplies Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 North Fwy
Ste 120
Fort Worth, TX 76102
Phone (817) 698-9797

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1174791768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850436",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751850436",
            "telephone_number": "817-698-9797",
            "fax_number": "817-887-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NORTH FWY",
            "address_2": "SUITE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761021702",
            "telephone_number": "817-698-9797",
            "fax_number": "817-887-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALEM MEDICAL SUPPLIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHALEM MEDICAL SUPPLIES",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR-1",
        "authorized_official_telephone_number": "972-222-9263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.