Organization Active NPI

Century Medical Consulting & Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, TX
National Provider Identifier
1760698062
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTURY MEDICAL CONSULTING & SUPPLY LLC
Practice address
1411 Lemay Dr.
Ste.407
Carrollton, TX 75007
Phone
(972) 446-2800
Fax
(972) 446-2810
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Mr. Reinaldo Anthony Gomez
Title
President
Phone
(972) 446-2800

Specialties & licenses 1

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

Addresses

Primary practice location

1411 Lemay Dr.
Ste.407
Carrollton, TX 75007

Mailing address

1411 Lemay Dr
Ste. 407
Carrollton, TX 75007-4934
Phone (972) 446-2800

Other identifiers 3

IdentifierTypeStateIssuer
200122450AMedicaidOK
106499MedicaidAL
165664716MedicaidAR

National Provider Directory

National Provider Directory

Locations

1411 Lemay Dr
Ste 407
Carrollton, TX 75007
Phone (972) 446-2800

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1760698062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 LEMAY DR",
            "address_2": "STE. 407",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074934",
            "telephone_number": "972-446-2800",
            "fax_number": "972-446-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 LEMAY DR.",
            "address_2": "STE.407",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75007",
            "telephone_number": "972-446-2800",
            "fax_number": "972-446-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL CONSULTING & SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-446-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "200122450A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106499",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165664716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.