Organization Active NPI

Evergreen DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1497552046
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EVERGREEN DME LLC
Practice address
4101 McEwen Rd Ste 437
Dallas, TX 75244-5237
Phone
(214) 434-1575
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Eric Delfin Campana
Title
Authorized Official
Phone
(214) 434-1575

Specialties & licenses 1

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

Addresses

Primary practice location

4101 McEwen Rd Ste 437
Dallas, TX 75244-5237

Mailing address

4101 McEwen Rd Ste 437
Dallas, TX 75244-5237

National Provider Directory

National Provider Directory

Locations

4101 McEwen Rd
Ste 437
Dallas, TX 75244
Phone (214) 434-1575

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1497552046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 437",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 437",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445237",
            "telephone_number": "214-434-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "CAMPANA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DELFIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-434-1575"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.