Organization Active NPI

Premier Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Irving, TX
National Provider Identifier
1497827505
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1001009 Issued in TX
Legal business name
PREMIER MEDICAL, INC.
Practice address
1200 W Walnut Hill LN # 2210
Irving, TX 75038-3029
Phone
(800) 782-5666
Fax
(800) 782-1055
NPI assigned
Nov 14, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mrs. Marianne Jett
Title
President
Phone
(800) 782-5666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 74603 CA
Durable Medical Equipment & Medical Supplies 332B00000X 1001009 TX Primary

Addresses

Primary practice location

1200 W Walnut Hill LN # 2210
Irving, TX 75038-3029

Mailing address

1200 W Walnut Hill LN Ste 2210
Irving, TX 75038-3006
Phone (800) 782-5666

Other identifiers 3

IdentifierTypeStateIssuer
203.002909OtherILDME-LICENSE-ILLINOIS
203.002909OtherILDME
69001818AOtherINDME-LICENSE-INDIANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930029654 TX DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 7810192812 Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

17768 Preston Rd
#107
Dallas, TX 75252
Phone (800) 782-5666

1200 W Walnut Hill Ln
Ste 2210
Irving, TX 75038
Phone (800) 782-5666

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1497827505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT HILL LN STE 2210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383006",
            "telephone_number": "800-782-5666",
            "fax_number": "800-782-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT HILL LN # 2210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383029",
            "telephone_number": "800-782-5666",
            "fax_number": "800-782-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-782-5666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "74603",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME-LICENSE-ILLINOIS",
            "identifier": "203.002909",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "203.002909",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME-LICENSE-INDIANA",
            "identifier": "69001818A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.