Kingsway Medical Systems, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5415750001 Issued in TX

Legal business name

KINGSWAY MEDICAL SYSTEMS, INC

Practice address

331 Melrose Dr
Suite 102
Richardson, TX 75080-4405

Phone

(972) 228-8111

Fax

(972) 228-8332

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip Odoemena

Title

Administrator

Phone

(972) 228-8111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1366505752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "SUITE 102",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "972-228-8111",
            "fax_number": "972-228-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "SUITE 102",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "972-228-8111",
            "fax_number": "972-228-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY MEDICAL SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "ODOEMENA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-228-8111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "5415750001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER",
            "identifier": "5415750001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Richardson, TX
• Providers in Richardson, 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 Oct 24, 2007; 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.