Organization Active NPI

Sam Mehra

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1588942247
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAM MEHRA
Practice address
14721 Montoro Dr
Austin, TX 78728-4319
Phone
(512) 925-4265
NPI assigned
Jul 29, 2011
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Sam Mehra
Title
Owner
Phone
(512) 925-4265

Specialties & licenses 1

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

Addresses

Primary practice location

14721 Montoro Dr
Austin, TX 78728-4319

Mailing address

14721 Montoro Dr
Austin, TX 78728-4319

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1588942247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14721 MONTORO DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787284319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14721 MONTORO DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787284319",
            "telephone_number": "512-925-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM MEHRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "MEHRA",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-925-4265"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.