Organization Active NPI

Medvibe Medical Supply LLC

Doing business as MedVibe Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1396627329
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDVIBE MEDICAL SUPPLY LLC
Doing business as
MedVibe Medical Supply
Practice address
4417 S Lancaster Rd Ste 2285
Dallas, TX 75216-7285
Phone
(214) 330-4000
Fax
(888) 330-4008
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Ms. Carlas Jackson
Title
Owner
Phone
(214) 714-2938

Specialties & licenses 1

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

Addresses

Primary practice location

4417 S Lancaster Rd Ste 2285
Dallas, TX 75216-7285

Mailing address

4417 S Lancaster Rd Ste 2285
Dallas, TX 75216-7285
Phone (214) 330-4000

Other names 1

  • MedVibe Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

4417 S Lancaster Rd
Ste 2285
Dallas, TX 75216
Phone (214) 330-4000

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1396627329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 S LANCASTER RD STE 2285",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167285",
            "telephone_number": "214-330-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 S LANCASTER RD STE 2285",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167285",
            "telephone_number": "214-330-4000",
            "fax_number": "888-330-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVIBE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CARLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-714-2938",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedVibe 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 Jul 24, 2025; 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.