Active NPI
Janice Griffin
- Durable Medical Equipment & Medical Supplies
- Desoto, TX
National Provider Identifier
1194428854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 803242895
- Practice address
- 1409 N Cockrell Hill Rd Ste 400
Desoto, TX 75115-2706 - Phone
- (469) 805-0208
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 803242895 | TX | Primary |
Addresses
Primary practice location
1409 N Cockrell Hill Rd Ste 400
Desoto, TX 75115-2706
Mailing address
1409 N Cockrell Hill Rd Ste 400
Desoto, TX 75115-2706
Phone (469) 805-0208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803242895 | TX | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1194428854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 N COCKRELL HILL RD STE 400",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152706",
"telephone_number": "469-805-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 N COCKRELL HILL RD STE 400",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152706",
"telephone_number": "469-805-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JANICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "803242895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.