Individual provider Active NPI

Renji John

  • Oxygen Equipment & Supplies (DME)
  • Garland, TX
National Provider Identifier
1336219781
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0073430 Issued in TX
Practice address
3016 S Shiloh Rd
Garland, TX 75041-2415
Phone
(214) 227-4353
Fax
(214) 227-4356
NPI assigned
Nov 9, 2006
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0073430 TX Primary

Addresses

Primary practice location

3016 S Shiloh Rd
Garland, TX 75041-2415

Mailing address

922 Myers Meadow Dr
Garland, TX 75043-3711
Phone (214) 227-4353

Other identifiers 2

IdentifierTypeStateIssuer
166790902MedicaidTX
166790901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0073430TXMDOxygen Equipment & Supplies (DME)

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Home Health Services, LLC CurrentSince May 21, 2023 Accepting new patients
Renji John Oxygen Equipment & Supplies CurrentSince Jun 5, 2022 Accepting new patients

Locations

3016 S Shiloh Rd
Garland, TX 75041
Phone (214) 227-4353

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1336219781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MYERS MEADOW DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433711",
            "telephone_number": "214-227-4353",
            "fax_number": "214-227-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 S SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412415",
            "telephone_number": "214-227-4353",
            "fax_number": "214-227-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "RENJI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0073430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166790902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166790901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.