Organization Active NPI

Takaniextensions

  • Durable Medical Equipment & Medical Supplies
  • Bryan, TX
National Provider Identifier
1538828017
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TAKANIEXTENSIONS
Practice address
1313 Celias Dream
Bryan, TX 77803-1170
Phone
(979) 574-2396
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Teanikia Monah RodgersNPI 1912610940
Title
Manager
Phone
(979) 574-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1313 Celias Dream
Bryan, TX 77803-1170

Mailing address

1313 Celias Dream
Bryan, TX 77803-1170
Phone (979) 574-2396

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1538828017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CELIAS DREAM",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778031170",
            "telephone_number": "979-574-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 CELIAS DREAM",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778031170",
            "telephone_number": "979-574-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKANIEXTENSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "TEANIKIA",
        "authorized_official_middle_name": "MONAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "979-574-2396"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.