Dimedical Equipment& Supply ,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

163387701 Issued in TX

Legal business name

DIMEDICAL EQUIPMENT& SUPPLY ,INC

Practice address

1429 S Fleishel Ave
Tyler, TX 75701-3355

Phone

(903) 595-1303

Fax

(903) 595-1326

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Etim Umana

Title

Administrator

Phone

(903) 595-1303

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1477706000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013355",
            "telephone_number": "903-595-1303",
            "fax_number": "903-595-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013355",
            "telephone_number": "903-595-1303",
            "fax_number": "903-595-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMEDICAL EQUIPMENT& SUPPLY ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "UMANA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ETIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-595-1303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "163387701",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163387701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Sarah Dillman, LPC, LMFT
• Leah Dillman, AGACNP-BC
• Kieffer Dillon
• Rey Preston Dimas
• Dimedical Equipment and Supplies Inc.
• Graceanne M. Dimon
• Boingoc Dinh, DO
• Eric Dinnerstein, MD
• David P Dipaolo, MD
• Odelia Maria Dipaolo

• Durable Medical Equipment & Medical Supplies in Tyler, TX
• Providers in Tyler, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.