Active NPI
Pink Wave Capital LLC
- Customized Equipment (DME)
- Rockwall, TX
National Provider Identifier
1639828692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.