Organization Active NPI

Maxim Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1750095162
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAXIM MEDICAL SUPPLIES LLC
Practice address
18800 Preston Rd Ste 306
Dallas, TX 75252-8573
Phone
(214) 299-9599
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Ammar Alfarawati
Title
Manager
Phone
(469) 766-4948

Specialties & licenses 1

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

Addresses

Primary practice location

18800 Preston Rd Ste 306
Dallas, TX 75252-8573

Mailing address

18800 Preston Rd Ste 306
Dallas, TX 75252-8573
Phone (214) 299-9599

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Maxim Medical Supplies LLC18800 Preston Rd, Dallas, TX 75252-8573(214) 299-9599 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes an… Does not accept assignmentParticipating since Feb 22, 2024

National Provider Directory

National Provider Directory

Locations

18800 Preston Rd
Ste 306
Dallas, TX 75252
Phone (214) 299-9599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1750095162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 PRESTON RD STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752528573",
            "telephone_number": "214-299-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 PRESTON RD STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752528573",
            "telephone_number": "214-299-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "ALFARAWATI",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-766-4948"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.