Organization Active NPI

Abiodun O Durojaiye

Doing business as Camad Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1700064805
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0066979 Issued in TX
Legal business name
ABIODUN O DUROJAIYE
Doing business as
Camad Medical Supplies
Practice address
11020 Audelia Rd
Ste B103
Dallas, TX 75243-0000
Phone
(214) 340-3326
Fax
(214) 340-5116
NPI assigned
Jan 31, 2008
Last updated
Aug 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Abiodun O DurojaiyeNPI 1508856204
Title
Owner
Phone
(214) 340-3326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0066979 TX Primary

Addresses

Primary practice location

11020 Audelia Rd
Ste B103
Dallas, TX 75243-0000

Mailing address

11020 Audelia Rd
Ste B103
Dallas, TX 75243-0000
Phone (214) 340-3326

Other identifiers 2

IdentifierTypeStateIssuer
531468OtherTXBLUE CROSS BLUE SHIELD
171364601MedicaidTX

Other names 1

  • CAMAD MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

11020 Audelia Rd
Ste B103
Dallas, TX 75243
Phone (214) 340-3326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1700064805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 AUDELIA RD",
            "address_2": "STE B103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752430000",
            "telephone_number": "214-340-3326",
            "fax_number": "214-340-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 AUDELIA RD",
            "address_2": "STE B103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752430000",
            "telephone_number": "214-340-3326",
            "fax_number": "214-340-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIODUN O DUROJAIYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "DUROJAIYE",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-340-3326"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0066979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531468",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171364601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMAD MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 2009; 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.