Dickson Kutey

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0068612 Issued in TX

Legal business name

DICKSON KUTEY

Doing business as

MERITZ MEDICAL SUPPLY

Practice address

2100 N Highway 360
Suite 301
Grand Prairie, TX 75050-1009

Phone

(972) 641-1612

Fax

(972) 641-1614

NPI assigned

Jan 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dickson Kutey

Title

Owner

Phone

(972) 641-1612

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MERITZ MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1235282294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N HIGHWAY 360",
            "address_2": "SUITE 301",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501009",
            "telephone_number": "972-641-1612",
            "fax_number": "972-641-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N HIGHWAY 360",
            "address_2": "SUITE 301",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501009",
            "telephone_number": "972-641-1612",
            "fax_number": "972-641-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON KUTEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "KUTEY",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-641-1612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0068612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172908901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172908902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERITZ MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, 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 Sep 24, 2009; 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.