Organization Active NPI

Funmilayo Oladun

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1356536627
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
32012163203 Issued in TX
Legal business name
FUNMILAYO OLADUN
Practice address
7125 Marvin D Love Fwy
Suite 302
Dallas, TX 75237-3175
Phone
(972) 709-0808
Fax
(972) 709-7244
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Ms. Funmi Oladun
Title
Director
Phone
(972) 709-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 32012163203 TX Primary

Addresses

Primary practice location

7125 Marvin D Love Fwy
Suite 302
Dallas, TX 75237-3175

Mailing address

7125 Marvin D Love Fwy
Suite 302
Dallas, TX 75237-3175
Phone (972) 709-0808

Other identifiers 2

IdentifierTypeStateIssuer
193471301MedicaidTX
193471302MedicaidTX

Other names 1

  • KFA 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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1356536627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY",
            "address_2": "SUITE 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373175",
            "telephone_number": "972-709-0808",
            "fax_number": "972-709-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY",
            "address_2": "SUITE 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373175",
            "telephone_number": "972-709-0808",
            "fax_number": "972-709-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNMILAYO OLADUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "OLADUN",
        "authorized_official_first_name": "FUNMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-709-0808",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "32012163203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193471301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193471302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KFA MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2008; 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.