Active NPI
Medical Sales Inc.
- Durable Medical Equipment & Medical Supplies
- Lewisville, TX
National Provider Identifier
1477553402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011442301 | Medicaid | TX | |
| 010044801 | Medicaid | TX |
Other names 1
- Specialty Medical Sales
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930065592 | TX | DME Supplier - Medical Supply Company | 6103946868 | Practice locations: Lewisville, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Specialty Medical Sales | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.