Organization Active NPI

Pink Wave Capital LLC

  • Customized Equipment (DME)
  • Rockwall, TX
National Provider Identifier
1639828692
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PINK WAVE CAPITAL LLC
Practice address
1307 Ridge Rd # 119
Rockwall, TX 75087-4301
Phone
(469) 529-7179
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Adonte Busby
Title
Owner
Phone
(469) 309-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1307 Ridge Rd # 119
Rockwall, TX 75087-4301

Mailing address

5234 N O Connor Blvd Apt 3309
Irving, TX 75039-5732
Phone (469) 309-0271

Other names 1

  • Pink Wave Capital LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1639828692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 N O CONNOR BLVD APT 3309",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395732",
            "telephone_number": "469-309-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 RIDGE RD # 119",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874301",
            "telephone_number": "469-529-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK WAVE CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "BUSBY",
        "authorized_official_first_name": "ADONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-309-0271"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pink Wave Capital LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.