Active NPI
Peter M Harvey
- Durable Medical Equipment & Medical Supplies
- Wichita Falls, TX
National Provider Identifier
1205018553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0346
- Legal business name
- PETER M HARVEY
- Practice address
- 1612 10TH St
Wichita Falls, TX 76301-4307 - Phone
- (940) 723-1054
- Fax
- (940) 723-4646
- NPI assigned
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter M Harvey, DPM
- Title
- Owner
- Phone
- (940) 723-1054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0346 | TX | Primary |
Addresses
Primary practice location
1612 10TH St
Wichita Falls, TX 76301-4307
Mailing address
1612 10TH St
Wichita Falls, TX 76301-4307
Phone (940) 723-1054
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00F621 | Other | TX | BLUE CROSS BLUE SHIELD |
| 00F621 | Other | TX | TAX ID NUMBER |
| 346 | Other | TX | STATE LICENCE NUMBER |
National Provider Directory
National Provider DirectoryLocations
1612 10th St
Wichita Falls, TX 76301
Phone (817) 723-1054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1205018553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 10TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014307",
"telephone_number": "940-723-1054",
"fax_number": "940-723-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 10TH ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014307",
"telephone_number": "940-723-1054",
"fax_number": "940-723-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER M HARVEY",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-723-1054",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00F621",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID NUMBER",
"identifier": "00F621",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE NUMBER",
"identifier": "346",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.