Organization Active NPI

Medical Sales Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lewisville, TX
National Provider Identifier
1477553402
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL SALES INC.
Practice address
1702 S State Highway 121
Ste 608
Lewisville, TX 75067-8944
Phone
(972) 434-2073
Fax
(972) 436-5454
NPI assigned
Aug 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Mr. Tom Polston
Title
President
Phone
(972) 434-2073

Specialties & licenses 1

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

Addresses

Primary practice location

1702 S State Highway 121
Ste 608
Lewisville, TX 75067-8944

Mailing address

PO Box 293451
Lewisville, TX 75029-3451
Phone (972) 434-2073

Other identifiers 2

IdentifierTypeStateIssuer
011442301MedicaidTX
010044801MedicaidTX

Other names 1

  • Specialty Medical Sales Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065592 TX DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 6103946868 Practice locations: Lewisville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Specialty Medical Sales1702 S State Highway 121, Lewisville, TX 75067-8947(972) 434-2073 Commodes, Urinals, Bedpans|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Urological Supplies|Continuous Positi… Does not accept assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

1702 S State Highway 121
Ste 608
Lewisville, TX 75067
Phone (972) 434-2073

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1477553402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293451",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750293451",
            "telephone_number": "972-434-2073",
            "fax_number": "972-436-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S STATE HIGHWAY 121",
            "address_2": "STE 608",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678944",
            "telephone_number": "972-434-2073",
            "fax_number": "972-436-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SALES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "POLSTON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-434-2073",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "011442301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010044801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Medical Sales",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.