Pedi Master Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEDI MASTER INC

Practice address

7637 Bermejo Rd
Fort Worth, TX 76112-6107

Phone

(817) 271-1393

NPI assigned

Nov 21, 2015

Last updated

Nov 21, 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

Larry D Mercer

Title

Owner

Phone

(817) 271-1393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448064000000",
    "number": "1336513803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7637 BERMEJO RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7637 BERMEJO RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126107",
            "telephone_number": "817-271-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI MASTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-21",
        "last_updated": "2015-11-21",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-271-1393"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shellie Jean Peaton, RMA
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• Allison Peddle
• Destiny Renae Peden, RN
• Pedi Spot LLC
• Pedialife Home Health Inc.
• Pediatric Echocardiography Diagnostic Services
• Pediatric Eye Specialists LLP
• Pediatric Home Healthcare, LLC

• Durable Medical Equipment & Medical Supplies in Fort Worth, TX
• Providers in Fort Worth, 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 Nov 21, 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.