Organization Active NPI

Jesse Medical Equipments and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1619090180
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0099197 Issued in TX
Legal business name
JESSE MEDICAL EQUIPMENTS AND SUPPLIES
Practice address
9550 Forest LN Ste 214
Dallas, TX 75243-6074
Phone
(214) 553-9320
Fax
(241) 221-7768
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Mr. Felix Nwaokolo
Title
President
Phone
(214) 553-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0099197 TX Primary

Addresses

Primary practice location

9550 Forest LN Ste 214
Dallas, TX 75243-6074

Mailing address

9550 Forest LN Ste 214
Dallas, TX 75243-6074
Phone (214) 553-9320

Other identifiers 1

IdentifierTypeStateIssuer
195048702MedicaidTX

National Provider Directory

National Provider Directory

Locations

9550 Forest Ln
Ste 214
Dallas, TX 75243
Phone (214) 553-9320

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1619090180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436074",
            "telephone_number": "214-553-9320",
            "fax_number": "241-221-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436074",
            "telephone_number": "214-553-9320",
            "fax_number": "241-221-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE MEDICAL EQUIPMENTS AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "NWAOKOLO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-553-9320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0099197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195048702",
            "state": "TX"
        }
    ],
    "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 Sep 14, 2010; 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.