Active NPI
Summit DME of San Antonio
- Durable Medical Equipment & Medical Supplies
- Austin, TX
National Provider Identifier
1225207459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SUMMIT DME OF SAN ANTONIO
- Practice address
- 4111 Todd LN
Suite 100
Austin, TX 78744-1149 - Phone
- (512) 617-6155
- NPI assigned
- Feb 21, 2008
- 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
- Shawn McCormick
- Title
- Owner
- Phone
- (210) 521-9800
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
4111 Todd LN
Suite 100
Austin, TX 78744-1149
Mailing address
1070 Arion Cir
Suite 164
San Antonio, TX 78216-2838
Phone (210) 521-9800
National Provider Directory
National Provider DirectoryLocations
4111 Todd Ln
Ste 100
Austin, TX 78744
Phone (512) 617-6155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1225207459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 ARION CIR",
"address_2": "SUITE 164",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162838",
"telephone_number": "210-521-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 TODD LN",
"address_2": "SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787441149",
"telephone_number": "512-617-6155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT DME OF SAN ANTONIO",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-521-9800"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.