Organization Active NPI

Divine Healing Supplies

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1548120264
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIVINE HEALING SUPPLIES
Practice address
13465 Midway Rd Ste 450
Dallas, TX 75244-5204
Phone
(214) 489-7852
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Jaquisha Martin
Title
Owner
Phone
(214) 489-7852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

13465 Midway Rd Ste 450
Dallas, TX 75244-5204

Mailing address

13465 Midway Road Suite 450
Dallas, TX 75244-5204

National Provider Directory

National Provider Directory

Locations

13465 Midway Rd
Ste 450
Dallas, TX 75244
Phone (214) 489-7852

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1548120264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13465 MIDWAY ROAD SUITE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13465 MIDWAY RD STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445204",
            "telephone_number": "214-489-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALING SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JAQUISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-489-7852"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 18, 2026; 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.