Dimedical Equipment and Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4591660001 Issued in TX

Legal business name

DIMEDICAL EQUIPMENT AND SUPPLIES INC.

Practice address

1429 S Fleishel Ave
Tyler, TX 75701-3355

Phone

(903) 595-1303

Fax

(903) 595-1326

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Etim Umana

Title

Administrator

Phone

(903) 595-1303

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1366592206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013355",
            "fax_number": "903-595-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013355",
            "telephone_number": "903-595-1303",
            "fax_number": "903-595-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMEDICAL EQUIPMENT AND SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "UMANA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ETIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-595-1303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "4591660001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163387701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163387702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Dill
• Evelyn Sarah Dillman, LPC, LMFT
• Leah Dillman, AGACNP-BC
• Kieffer Dillon
• Rey Preston Dimas
• Dimedical Equipment& Supply ,Inc
• Graceanne M. Dimon
• Boingoc Dinh, DO
• Eric Dinnerstein, MD
• David P Dipaolo, MD

• Durable Medical Equipment & Medical Supplies in Tyler, TX
• Providers in Tyler, 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 Sep 15, 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.