Active NPI
Kelly's D.M.E., Inc.
- Durable Medical Equipment & Medical Supplies
- Mission, TX
National Provider Identifier
1700820016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0065942
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.