Active NPI
Medhealth
- Durable Medical Equipment & Medical Supplies
- Grand Prairie, TX
National Provider Identifier
1245723113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDHEALTH
- Practice address
- 4560 Lake Ridge Parkway
Suite 300
Grand Prairie, TX 75052 - Phone
- (214) 948-2076
- Fax
- (214) 948-9990
- NPI assigned
- Jun 14, 2018
- 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
- Jennifer Kenyon
- Title
- Credentialing Manager
- Phone
- (214) 947-4523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4560 Lake Ridge Parkway
Suite 300
Grand Prairie, TX 75052
Mailing address
1441 N. Beckley Ave.
Attn: Dallas Methodist Physicians Network
Dallas, TX 75203
Phone (214) 947-4523
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1245723113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N. BECKLEY AVE.",
"address_2": "ATTN: DALLAS METHODIST PHYSICIANS NETWORK",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203",
"telephone_number": "214-947-4523",
"fax_number": "214-947-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 LAKE RIDGE PARKWAY",
"address_2": "SUITE 300",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75052",
"telephone_number": "214-948-2076",
"fax_number": "214-948-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-14",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "KENYON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "214-947-4523"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.