Organization Active NPI

Jim Dandy Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1760445670
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000177 Issued in TX
Legal business name
JIM DANDY MEDICAL, INC.
Practice address
7959 Fredericksburg Rd
Suite 111
San Antonio, TX 78229-3430
Phone
(210) 615-9881
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Ms. Rosie Ray
Title
President/Owner
Phone
(210) 615-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000177 TX Primary

Addresses

Primary practice location

7959 Fredericksburg Rd
Suite 111
San Antonio, TX 78229-3430

Mailing address

7959 Fredericksburg Rd
Suite 111
San Antonio, TX 78229-3430
Phone (210) 615-9880

Other identifiers 1

IdentifierTypeStateIssuer
177661902MedicaidTX

National Provider Directory

National Provider Directory

Locations

7959 Fredericksburg Rd
Ste 111
San Antonio, TX 78229
Phone (210) 593-0901

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1760445670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 FREDERICKSBURG RD",
            "address_2": "SUITE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293430",
            "telephone_number": "210-615-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 FREDERICKSBURG RD",
            "address_2": "SUITE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293430",
            "telephone_number": "210-615-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM DANDY MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "210-615-9880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177661902",
            "state": "TX"
        }
    ],
    "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 Nov 25, 2009; 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.