Organization Active NPI

Active American Scooter Co.

  • Customized Equipment (DME)
  • Dallas, TX
National Provider Identifier
1174816508
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ACTIVE AMERICAN SCOOTER CO.
Practice address
11034 Shady TRL
112
Dallas, TX 75229-5625
Phone
(888) 734-2207
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Solomon Adams
Title
Owner
Phone
(281) 495-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X TX Primary

Addresses

Primary practice location

11034 Shady TRL
112
Dallas, TX 75229-5625

Mailing address

103 Circle Way St
Lake Jackson, TX 77566-5233
Phone (979) 297-3155

Other names 1

  • Active American Mobility & Medical Doing business as

National Provider Directory

National Provider Directory

Locations

11034 Shady Trl
Ste 112
Dallas, TX 75229
Phone (214) 727-2117

103 Circle Way St
Lake Jackson, TX 77566
Phone (979) 297-3155

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1174816508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CIRCLE WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-297-3155",
            "fax_number": "979-297-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11034 SHADY TRL",
            "address_2": "112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295625",
            "telephone_number": "888-734-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AMERICAN SCOOTER CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-495-4400"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active American Mobility & Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 18, 2011; 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.