Ikonmed Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IKONMED CORP.

Practice address

1000 Post and Paddock St Ste 409
Grand Prairie, TX 75050-1143

Phone

(787) 673-3830

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Angel M Santiago

Title

President

Phone

(787) 458-6569

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1699059691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POST AND PADDOCK ST STE 409",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501143",
            "telephone_number": "787-673-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POST AND PADDOCK ST STE 409",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501143",
            "telephone_number": "787-673-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKONMED CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-458-6569",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benson Igboeli
• Elham Ellie Ighani, DDS
• Llynsie Iglehart
• IHS Acquisition No 133 Inc (Grand Prairie Healthcare Center)
• Elizabeth Ikenyei
• Nguvan Stephanie Ikowe
• Ngozi Cordelia Iloanya
• Medukam Ilokwu, LVN
• Imagin Etc Inc.
• Imd Healthcare Association, Inc. (1st Health Family Clinic)

• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, 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 Oct 10, 2011; 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.