Organization Active NPI

Western Diabetic Delivery Service LLC

  • Durable Medical Equipment & Medical Supplies
  • Bay City, TX
National Provider Identifier
1740468875
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WESTERN DIABETIC DELIVERY SERVICE LLC
Practice address
217 Navidad St
Bay City, TX 77414-2105
Phone
(979) 244-8421
Fax
(979) 245-2132
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Cynthia K Riggs
Title
Sole Member
Phone
(979) 244-8421

Specialties & licenses 1

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

Addresses

Primary practice location

217 Navidad St
Bay City, TX 77414-2105

Mailing address

217 Navidad St
Bay City, TX 77414-2105
Phone (979) 244-8421

Other identifiers 4

IdentifierTypeStateIssuer
193177602MedicaidTX
870661614002MedicaidUT
IDX42335OtherUTHEALTHY U
01671724MedicaidMS

National Provider Directory

National Provider Directory

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": "1315440000000",
    "number": "1740468875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 NAVIDAD ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774142105",
            "telephone_number": "979-244-8421",
            "fax_number": "979-245-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 NAVIDAD ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774142105",
            "telephone_number": "979-244-8421",
            "fax_number": "979-245-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DIABETIC DELIVERY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "979-244-8421"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193177602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870661614002",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY U",
            "identifier": "IDX42335",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01671724",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.