Organization Active NPI

Kelly's D.M.E., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mission, TX
National Provider Identifier
1700820016
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0065942 Issued in TX
Legal business name
KELLY'S D.M.E., INC.
Practice address
2007 N Conway Ave
Ste B
Mission, TX 78572-2947
Phone
(956) 583-8336
Fax
(956) 584-8572
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Noe Chapa
Title
Owner/President
Phone
(956) 583-8336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0065942 TX Primary

Addresses

Primary practice location

2007 N Conway Ave
Ste B
Mission, TX 78572-2947

Mailing address

2007 N Conway Ave
Ste B
Mission, TX 78572-2947
Phone (956) 583-8336

National Provider Directory

National Provider Directory

Locations

2007 N Conway Ave
Ste B
Mission, TX 78572
Phone (956) 583-8336

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1700820016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N CONWAY AVE",
            "address_2": "STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722947",
            "telephone_number": "956-583-8336",
            "fax_number": "956-584-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N CONWAY AVE",
            "address_2": "STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722947",
            "telephone_number": "956-583-8336",
            "fax_number": "956-584-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY'S D.M.E., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "NOE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-583-8336"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0065942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.