Active NPI
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc
Doing business as Chest Diagnostic Therapeutic Services, Inc
- Durable Medical Equipment & Medical Supplies
- Corsicana, TX
National Provider Identifier
1609873256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0011681
- Legal business name
- CHEST DIAGNOSTIC THERAPEUTIC SVCS & TRANSIT NURSING OF TX, INC
- Doing business as
- Chest Diagnostic Therapeutic Services, Inc
- Practice address
- 3205A W 2ND Ave
Corsicana, TX 75110-2409 - Phone
- (903) 872-3611
- Fax
- (903) 872-3465
- NPI assigned
- Jun 28, 2005
- Last updated
- Mar 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William H Wragge, RRT
- Title
- Owner/Ceo
- Phone
- (254) 562-3803
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0011681 | TX | Primary |
| Customized Equipment (DME) | 332BC3200X | ATP 915 | TX | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0063038 | TX |
Addresses
Primary practice location
3205A W 2ND Ave
Corsicana, TX 75110-2409
Mailing address
PO Box 289
Mexia, TX 76667-0289
Phone (254) 562-3803
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086787103 | Medicaid | TX | |
| 086787102 | Medicaid | TX | |
| 519093 | Other | TX | BCBS PROVIDER NUMBER |
Other names 1
- Chest Diagnostic Therapeutic Services, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330560000000",
"number": "1609873256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 289",
"city": "MEXIA",
"state": "TX",
"postal_code": "766670289",
"telephone_number": "254-562-3803",
"fax_number": "254-562-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205A W 2ND AVE",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102409",
"telephone_number": "903-872-3611",
"fax_number": "903-872-3465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEST DIAGNOSTIC THERAPEUTIC SVCS & TRANSIT NURSING OF TX, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2012-03-01",
"status": "A",
"authorized_official_last_name": "WRAGGE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "254-562-3803",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0011681",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "ATP 915",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": "0063038",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086787103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086787102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "519093",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chest Diagnostic Therapeutic Services, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.