Organization Active NPI

Entramed, Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Tomball, TX
National Provider Identifier
1194859629
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
0051466 Issued in TX
Legal business name
ENTRAMED, INC
Practice address
27905 Commercial Park Rd Ste 240
Tomball, TX 77375-6580
Phone
(713) 955-2123
Fax
(281) 742-2589
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Mr. Jeremy W Crabb
Title
Co-Ceo
Phone
(817) 600-6233

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
Durable Medical Equipment & Medical Supplies 332B00000X 0051466 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0051466 TX Primary

Addresses

Primary practice location

27905 Commercial Park Rd Ste 240
Tomball, TX 77375-6580

Mailing address

27905 Commercial Park Rd Ste 240
Tomball, TX 77375-6580
Phone (713) 955-2123

Other practice location 1

2821 S Parker Rd Ste 405
Aurora, CO 80014-2748
Phone (719) 368-2293

Other identifiers 8

IdentifierTypeStateIssuer
1194859629MedicaidMT
1194859629MedicaidCO
1653815MedicaidAK
10026750400MedicaidNE
28430310MedicaidNM
145697201MedicaidTX
145698001MedicaidTX
2106483MedicaidWA

Other names 1

  • Sentido Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930079077 TX DME Supplier - Medical Supply Company 0749392157 Practice locations: Tomball, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Entramed Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2821 S Parker Rd
Ste 405
Aurora, CO 80014
Phone (719) 368-2293

412 N 4th St
Ste 331A
Baton Rouge, LA 70802

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1194859629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27905 COMMERCIAL PARK RD STE 240",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756580",
            "telephone_number": "713-955-2123",
            "fax_number": "281-742-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27905 COMMERCIAL PARK RD STE 240",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756580",
            "telephone_number": "713-955-2123",
            "fax_number": "281-742-2589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 S Parker Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142748",
            "country_code": "US",
            "telephone_number": "719-368-2293",
            "fax_number": "303-997-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENTRAMED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "CRABB",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "817-600-6233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0051466",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0051466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194859629",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194859629",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653815",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026750400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28430310",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145697201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145698001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106483",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentido Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentido Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.