NPIMap

Organization Active NPI

Stateserv Medical of Texas

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1447646856
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TX32289 Issued in TX
Legal business name
STATESERV MEDICAL OF TEXAS
Practice address
3913 Todd Lane
#409
Austin, TX 78744-1000
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 Oct 21, 2019

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 TX32289 TX Primary

Addresses

Primary practice location

3913 Todd Lane
#409
Austin, TX 78744-1000

Mailing address

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

Other names 1

  • StateServ Medical of Austin 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

2130 E University Dr
Tempe, AZ 85288
Phone (480) 966-9730

3913 Todd Ln
Ste 304
Austin, TX 78744

3913 Todd Ln
Ste 409
Austin, TX 78744

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": "1571616000000",
    "number": "1447646856",
    "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": "3913 TODD LANE",
            "address_2": "#409",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441000",
            "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": "2019-10-21",
        "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": "TX32289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StateServ Medical of Austin",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical of Austin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.