Active NPI
Pella Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1346074770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PELLA MEDICAL SUPPLY INC
- Practice address
- 9304 Forest LN Ste 256
Dallas, TX 75243-6245 - Phone
- (214) 954-7033
- Fax
- (214) 954-7033
- NPI assigned
- Aug 28, 2024
- 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
- Asma Imran
- Title
- Authorized Official
- Phone
- (407) 232-7626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
9304 Forest LN Ste 256
Dallas, TX 75243-6245
Mailing address
9304 Forest LN Ste 256
Dallas, TX 75243-6245
Phone (214) 954-7033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250401000472 | TX | DME Supplier - Medical Supply Company | 7214450238 | Practice locations: Dallas, TX |
National Provider Directory
National Provider DirectoryLocations
9304 Forest Ln
Ste 256
Dallas, TX 75243
Phone (214) 954-7033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1346074770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9304 FOREST LN STE 256",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436245",
"telephone_number": "214-954-7033",
"fax_number": "214-954-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9304 FOREST LN STE 256",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436245",
"telephone_number": "214-954-7033",
"fax_number": "214-954-7033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PELLA MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-28",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "IMRAN",
"authorized_official_first_name": "ASMA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "407-232-7626"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.