Organization Active NPI

Superior DME Inc

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1578694568
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR DME INC
Practice address
4930 Osborne Dr
Suite G
El Paso, TX 79922-1041
Phone
(915) 581-3772
Fax
(915) 581-3199
NPI assigned
Mar 8, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SUPERIOR DME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Prof. Robert Martinez
Title
Owner
Phone
(915) 581-3772

Specialties & licenses 1

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

Addresses

Primary practice location

4930 Osborne Dr
Suite G
El Paso, TX 79922-1041

Mailing address

4930 Osborne Dr
Suite G
El Paso, TX 79922-1041
Phone (915) 581-3772

Other identifiers 1

IdentifierTypeStateIssuer
530857OtherTNBLUE CROSS BLUE SHIELD-TX

National Provider Directory

National Provider Directory
Part of
Superior DME Inc

Locations

4930 Osborne Dr
Ste G
El Paso, TX 79922
Phone (915) 581-3772

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1578694568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 OSBORNE DR",
            "address_2": "SUITE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221041",
            "telephone_number": "915-581-3772",
            "fax_number": "915-581-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 OSBORNE DR",
            "address_2": "SUITE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221041",
            "telephone_number": "915-581-3772",
            "fax_number": "915-581-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DME INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR DME, INC.",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-581-3772",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD-TX",
            "identifier": "530857",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.