NPIMap

Organization Active NPI

Baylor Scott & White Medical Center - Centennial

  • Durable Medical Equipment & Medical Supplies
  • Frisco, TX
National Provider Identifier
1760389977
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
Practice address
12505 Lebanon Rd
Frisco, TX 75035-8298
Phone
(469) 764-8000
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Wesley Tidwell
Title
President
Phone
(281) 413-5480

Specialties & licenses 1

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

Addresses

Primary practice location

12505 Lebanon Rd
Frisco, TX 75035-8298

Mailing address

PO Box 840782
Dallas, TX 75284-0782

Other names 1

  • BAYLOR MEDICAL CENTER AT CENTENNIAL DME Other name

National Provider Directory

National Provider Directory
Tax ID family
Baylor Scott White Medical Center - Centennial2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1760389977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840782",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 LEBANON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358298",
            "telephone_number": "469-764-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-413-5480"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYLOR MEDICAL CENTER AT CENTENNIAL DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.