Zion Durable Medical Equipment, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ZION DURABLE MEDICAL EQUIPMENT, LLC

Practice address

401 James Richard Closner Dr
A Box 1
La Feria, TX 78559-3057

Phone

(956) 797-9999

Fax

(956) 797-9990

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

David Carrasco Jr.

Title

President

Phone

(956) 797-9999

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1689745283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 JAMES RICHARD CLOSNER DR",
            "address_2": "A BX 1",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785593057",
            "telephone_number": "956-797-9999",
            "fax_number": "956-797-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JAMES RICHARD CLOSNER DR",
            "address_2": "A BOX 1",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785593057",
            "telephone_number": "956-797-9999",
            "fax_number": "956-797-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION DURABLE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-797-9999",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CROSSOVER",
            "identifier": "184218901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184218902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Vela, LVN
• Francis Villalba
• Virgo Express Laboratory Services
• Whitewing Dental at la Feria,PLLC
• Marissa Aleida Zambrano, CSC, NCC

• Oxygen Equipment & Supplies (DME) in La Feria, TX
• Providers in La Feria, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.