Organization Active NPI

Medtech ASC Division LLC

  • Durable Medical Equipment & Medical Supplies
  • Frisco, TX
National Provider Identifier
1508227208
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDTECH ASC DIVISION LLC
Practice address
6136 Frisco Square Blvd
Suite 200
Frisco, TX 75034-3246
Phone
(972) 331-5902
Fax
(214) 988-5151
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Iris Kathleen Forrest
Title
Case Manager
Phone
(214) 282-1577

Specialties & licenses 1

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

Addresses

Primary practice location

6136 Frisco Square Blvd
Suite 200
Frisco, TX 75034-3246

Mailing address

6136 Frisco Square Blvd
Suite 200
Frisco, TX 75034-3246
Phone (972) 331-5902

National Provider Directory

National Provider Directory

Locations

6136 Frisco Square Blvd
Ste 200
Frisco, TX 75034
Phone (972) 331-5902

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1508227208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 FRISCO SQUARE BLVD",
            "address_2": "SUITE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343246",
            "telephone_number": "972-331-5902",
            "fax_number": "214-988-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 FRISCO SQUARE BLVD",
            "address_2": "SUITE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343246",
            "telephone_number": "972-331-5902",
            "fax_number": "214-988-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTECH ASC DIVISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "214-282-1577"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.