Organization Active NPI

DME Direct LLC

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1740561638
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DME DIRECT LLC
Practice address
4204 Gardendale St Ste 107
San Antonio, TX 78229-3138
Phone
(210) 593-4000
Fax
(210) 593-4003
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mr. Randell Scott Farley
Title
President
Phone
(210) 593-4000

Specialties & licenses 1

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

Addresses

Primary practice location

4204 Gardendale St Ste 107
San Antonio, TX 78229-3138

Mailing address

4204 Gardendale St Ste 107
San Antonio, TX 78229-3138
Phone (210) 593-4000

National Provider Directory

National Provider Directory

Locations

4204 Gardendale St
Ste 107
San Antonio, TX 78229
Phone (210) 334-0108

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1740561638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293138",
            "telephone_number": "210-593-4000",
            "fax_number": "210-593-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293138",
            "telephone_number": "210-593-4000",
            "fax_number": "210-593-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "RANDELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-593-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.