Freedom Town Scooter of Dallas

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEDOM TOWN SCOOTER OF DALLAS

Practice address

13860 N Stemmons Fwy
Farmers Branch, TX 75234-3465

Phone

(972) 247-9633

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Marcus Wiygul

Title

Owner

Phone

(972) 247-9633

Specialties & licenses 1

Addresses

Tax ID family

Freedom Town Scooter of Dallas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedomtown Scooter Co. LLC

  • Durable Medical Equipment & Medical Supplies
  • Moore, OK
  • NPI 1235185166
  NPD tax ID

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649338864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13860 N STEMMONS FWY",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343465",
            "telephone_number": "972-247-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13860 N STEMMONS FWY",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343465",
            "telephone_number": "972-247-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM TOWN SCOOTER OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIYGUL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-247-9633"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.