Active NPI
Spry Medical Group Corporation
- Durable Medical Equipment & Medical Supplies
- Southlake, TX
National Provider Identifier
1205284783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.