Organization Active NPI

Central Texas DME Inc.

  • Oxygen Equipment & Supplies (DME)
  • Waco, TX
National Provider Identifier
1376559104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0082357 Issued in TX
Legal business name
CENTRAL TEXAS DME INC.
Practice address
600 Lake Air Dr Ste 8B
Waco, TX 76710-5888
Phone
(254) 751-0699
NPI assigned
Aug 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robin Lee Cole
Title
Treasurer
Phone
(254) 751-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0082357 TX Primary

Addresses

Primary practice location

600 Lake Air Dr Ste 8B
Waco, TX 76710-5888

Mailing address

600 Lake Air Dr Ste 8B
Waco, TX 76710-5888
Phone (254) 751-0699

Other identifiers 1

IdentifierTypeStateIssuer
0082357OtherTXMEDICAL DEVICE DISTRIBUTO

National Provider Directory

National Provider Directory

Locations

600 Lake Air Dr
Ste 8B
Waco, TX 76710
Phone (254) 751-0699

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376559104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LAKE AIR DR STE 8B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105888",
            "telephone_number": "254-751-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAKE AIR DR STE 8B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105888",
            "telephone_number": "254-751-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS DME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "254-751-0699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0082357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DEVICE DISTRIBUTO",
            "identifier": "0082357",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.