NPIMap

Organization Active NPI

Stateserv Medical of Texas

  • Durable Medical Equipment & Medical Supplies
  • Arlington, TX
National Provider Identifier
1437545845
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TX32320 Issued in TX
Legal business name
STATESERV MEDICAL OF TEXAS
Practice address
1184 W Corporate Drive
Suite E
Arlington, TX 76006
Phone
(877) 633-7250
NPI assigned
Apr 13, 2015
Organization subpart
Yes
Parent organization
STATESERV MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Christopher Roode
Title
Coo
Phone
(877) 633-7250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX32320 TX Primary

Addresses

Primary practice location

1184 W Corporate Drive
Suite E
Arlington, TX 76006

Mailing address

1201 S. Alma School Road
Suite 4000
Mesa, AZ 85210

Other names 1

  • StateServ Medical of Dallas Other name

National Provider Directory

National Provider Directory
Tax ID family
Beaumont5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1184 W Corporate Dr
Ste E
Arlington, TX 76006

1000 Post and Paddock St
#416
Grand Prairie, TX 75050

1000 Post and Paddock St
Ste 305
Grand Prairie, TX 75050

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1437545845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 W CORPORATE DRIVE",
            "address_2": "SUITE E",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76006",
            "telephone_number": "877-633-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL OF TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATESERV MEDICAL, LLC",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "TX32320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StateServ Medical of Dallas",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical of Dallas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.