Organization Active NPI

Spry Medical Group Corporation

  • Durable Medical Equipment & Medical Supplies
  • Southlake, TX
National Provider Identifier
1205284783
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPRY MEDICAL GROUP CORPORATION
Practice address
558 Silicon Dr Ste 102
Southlake, TX 76092-7530
Phone
(435) 868-1001
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Taylor Edwards
Title
President
Phone
(435) 868-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X UT Primary

Addresses

Primary practice location

558 Silicon Dr Ste 102
Southlake, TX 76092-7530

Mailing address

530 E 600 N
Provo, UT 84606-1914
Phone (435) 868-1001

National Provider Directory

National Provider Directory

Locations

558 Silicon Dr
Ste 102
Southlake, TX 76092
Phone (720) 252-2908

742 N 500 W
Ste 101
Provo, UT 84601

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1205284783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 600 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846061914",
            "telephone_number": "435-868-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SILICON DR STE 102",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927530",
            "telephone_number": "435-868-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRY MEDICAL GROUP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-868-1001"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.