Active NPI
Dura Medic, LLC
- Durable Medical Equipment & Medical Supplies
- Austin, TX
National Provider Identifier
1245237643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DURA MEDIC, LLC
- Practice address
- 3601 S Congress Ave
Ste B-400B
Austin, TX 78704 - Phone
- (512) 320-5400
- Fax
- (512) 320-9961
- NPI assigned
- Jun 30, 2005
- 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
- Mr. Tim Tidd
- Title
- Authorized Official
- Phone
- (512) 320-5400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | Primary | |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
3601 S Congress Ave
Ste B-400B
Austin, TX 78704
Mailing address
PO Box 2728
Austin, TX 78768-2728
Phone (512) 320-5400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528358 | Medicaid | LA | |
| 1664401 | Medicaid | TX | |
| 531707 | Other | TX | BCBS TEXAS |
| XDME03175 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
3601 S Congress Ave
Ste B400B
Austin, TX 78704
Phone (512) 320-5400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1245237643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2728",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787682728",
"telephone_number": "512-320-5400",
"fax_number": "512-320-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S CONGRESS AVE",
"address_2": "STE B-400B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-320-5400",
"fax_number": "512-320-9961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURA MEDIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TIDD",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "512-320-5400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528358",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1664401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "531707",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XDME03175",
"state": "CA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.