Silver Star Medical Supplies and Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0066378 Issued in TX

Legal business name

SILVER STAR MEDICAL SUPPLIES AND EQUIPMENT

Practice address

1106 Clayton LN
548W
Austin, TX 78723-1066

Phone

(512) 453-5511

Fax

(512) 380-9459

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Sunday Effiong

Title

Owner

Phone

(512) 453-5511

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1235192204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 548W",
            "address_2": "548W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232488",
            "telephone_number": "512-453-5511",
            "fax_number": "512-380-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN",
            "address_2": "548W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231066",
            "telephone_number": "512-453-5511",
            "fax_number": "512-380-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STAR MEDICAL SUPPLIES AND EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "EFFIONG",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-453-5511"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0066378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177627001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.