Organization Active NPI

Edimax Medical Resource

  • Durable Medical Equipment & Medical Supplies
  • Garland, TX
National Provider Identifier
1669464749
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EDIMAX MEDICAL RESOURCE
Practice address
3228 Southern Dr
Suite 204-D
Garland, TX 75043-1579
Phone
(972) 278-4440
Fax
(972) 926-9574
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Joseph O Esin
Title
Director of Operations
Phone
(972) 278-4440

Specialties & licenses 1

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

Addresses

Primary practice location

3228 Southern Dr
Suite 204-D
Garland, TX 75043-1579

Mailing address

3228 Southern Dr
Suite 204-D
Garland, TX 75043-1579
Phone (972) 278-4440

Other identifiers 2

IdentifierTypeStateIssuer
1586661-01MedicaidTX
1586661-02MedicaidTX

Other names 1

  • Edimax Medical Resource Doing business as

National Provider Directory

National Provider Directory

Locations

3228 Southern Dr
Ste 204D
Garland, TX 75043
Phone (972) 278-4440

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1669464749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 SOUTHERN DR",
            "address_2": "SUITE 204-D",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431579",
            "telephone_number": "972-278-4440",
            "fax_number": "972-926-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 SOUTHERN DR",
            "address_2": "SUITE 204-D",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431579",
            "telephone_number": "972-278-4440",
            "fax_number": "972-926-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIMAX MEDICAL RESOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "ESIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "972-278-4440"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1586661-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1586661-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edimax Medical Resource",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.