Moon Medical Supply, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0041165 Issued in TX

Legal business name

MOON MEDICAL SUPPLY, INC

Practice address

2730 N Stemmons Fwy BLDG
Ste 215
Dallas, TX 75207-2279

Phone

(214) 905-9105

Fax

(214) 634-3942

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel C Osadebey

Title

Asst. Purch. Officer

Phone

(214) 905-9105

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1508037888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N STEMMONS FWY BLDG STE215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072279",
            "telephone_number": "214-905-9105",
            "fax_number": "214-634-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N STEMMONS FWY BLDG",
            "address_2": "STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072279",
            "telephone_number": "214-905-9105",
            "fax_number": "214-634-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "OSADEBEY",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ASST. PURCH. OFFICER",
        "authorized_official_telephone_number": "214-905-9105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0041165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Oliver Moody, CRNA
• Nathan Raymond Moody, D.O.
• Theresa Lashonda Lucie Moody, LPC-INTERN
• William Ernest Moody Jr., P.A.
• Subhra Jit Mookerjee, D.O.
• Dominic Himchan Moon, M.D.
• Elizabeth Carolyn Moon, OTR
• Joyce Moon
• Matthew Ryan Moon, CRNA
• Natalie Anne Moon, FNPC

• Oxygen Equipment & Supplies (DME) in Dallas, TX
• Providers in Dallas, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.