Active NPI
Andrea Alexis Oliphant, ATP
- Other Technician
- Dallas, TX
National Provider Identifier
1659837326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- ATP89315
- Practice address
- 2601 W Mockingbird LN Ste 101
Dallas, TX 75235-5630 - Phone
- (214) 951-9710
- Fax
- (214) 951-9720
- NPI assigned
- Feb 18, 2019
- Last updated
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | ATP89315 | TX | Primary |
Addresses
Primary practice location
2601 W Mockingbird LN Ste 101
Dallas, TX 75235-5630
Mailing address
2601 W Mockingbird LN Ste 101
Dallas, TX 75235-5630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89315 | Other | TX | RESNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP89315 | TX | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMS Equipment of Dallas Central Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Majors Medical Service
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1164426144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1659837326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 W MOCKINGBIRD LN STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 W MOCKINGBIRD LN STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355630",
"telephone_number": "214-951-9710",
"fax_number": "214-951-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIPHANT",
"first_name": "ANDREA",
"middle_name": "ALEXIS",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "ATP89315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESNA",
"identifier": "89315",
"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 Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.