Active NPI
Superior DME, Inc.
- Durable Medical Equipment & Medical Supplies
- El Paso, TX
National Provider Identifier
1477545960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SUPERIOR DME, INC.
- Practice address
- 1525 Common Dr., Ste B
El Paso, TX 79936-5949 - Phone
- (915) 778-7959
- Fax
- (915) 778-0301
- NPI assigned
- Aug 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Esther V. Zamudio
- Title
- Administrator/President
- Phone
- (915) 778-7959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1525 Common Dr., Ste B
El Paso, TX 79936-5949
Mailing address
1525 Common Dr., Ste. B
El Paso, TX 79936-5949
Phone (915) 778-7959
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10009250 | Medicaid | TX | |
| 017278501 | Medicaid | TX | |
| 091694201 | Medicaid | TX | |
| 530857 | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
9207 Montana Ave
#B
El Paso, TX 79925
Phone (915) 778-7959
1525 Common Dr
Ste B
El Paso, TX 79936
Phone (915) 771-6611
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- El Paso, TX
- NPI 1578694568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321920000000",
"number": "1477545960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 COMMON DR., STE. B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799365949",
"telephone_number": "915-778-7959",
"fax_number": "915-778-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 COMMON DR., STE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799365949",
"telephone_number": "915-778-7959",
"fax_number": "915-778-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR DME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-19",
"last_updated": "2011-11-22",
"status": "A",
"authorized_official_last_name": "ZAMUDIO",
"authorized_official_first_name": "ESTHER",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
"authorized_official_telephone_number": "915-778-7959",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10009250",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017278501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091694201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "530857",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.