Organization Active NPI

Superior DME, Inc.

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1477545960
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Nov 22, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10009250MedicaidTX
017278501MedicaidTX
091694201MedicaidTX
530857OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.