Organization Active NPI

Performance DME and Medical Supply, Alliance DME and Medical

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, TX
National Provider Identifier
1336155175
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0088008 Issued in TX
Legal business name
PERFORMANCE DME AND MEDICAL SUPPLY, ALLIANCE DME AND MEDICAL
Doing business as
Alliance DME and Medical Supply
Practice address
2445 Midway Rd
Suite # 103
Carrollton, TX 75006-2555
Phone
(214) 357-5913
Fax
(214) 357-8204
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Mr. James Dale Buck
Title
President,Owner
Phone
(214) 357-5913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0088008 TX Primary

Addresses

Primary practice location

2445 Midway Rd
Suite # 103
Carrollton, TX 75006-2555

Mailing address

2445 Midway Rd
Suite # 103
Carrollton, TX 75006-2555
Phone (214) 357-5913

Other identifiers 1

IdentifierTypeStateIssuer
0088008OtherTXSTATE LICENSE

Other names 1

  • Alliance DME and Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1336155175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 MIDWAY RD",
            "address_2": "SUITE # 103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062555",
            "telephone_number": "214-357-5913",
            "fax_number": "214-357-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MIDWAY RD",
            "address_2": "SUITE # 103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062555",
            "telephone_number": "214-357-5913",
            "fax_number": "214-357-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE DME AND MEDICAL SUPPLY, ALLIANCE DME AND MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT,OWNER",
        "authorized_official_telephone_number": "214-357-5913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0088008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0088008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance DME and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.