Davenport DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DAVENPORT DME

Practice address

5750 Business 78
Nevada, TX 75173-8026

Phone

(214) 914-4135

NPI assigned

Sep 22, 2015

Last updated

Sep 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Sue Davenport

Title

Owner/ Fitter

Phone

(214) 914-4135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1255700068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BUSINESS 78",
            "city": "NEVADA",
            "state": "TX",
            "postal_code": "751738026",
            "telephone_number": "214-914-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BUSINESS 78",
            "city": "NEVADA",
            "state": "TX",
            "postal_code": "751738026",
            "telephone_number": "214-914-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/ FITTER",
        "authorized_official_telephone_number": "214-914-4135"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Barton, M.A
• Rebecca Bridgefarmer
• Community Isd
• Chelbi Danielle Fischer, RN
• Kristina M Gammons, RN, LP
• Jessica Gardner, RD, LD
• Brandi McBride, PT, DPT
• Barri Joe Mulkey II, ATC, LAT

• Durable Medical Equipment & Medical Supplies in Nevada, TX
• Providers in Nevada, 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 22, 2015; 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.