Dr Equip

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10872 Issued in TX

Legal business name

DR EQUIP

Practice address

5411 Live Oak St
Dallas, TX 75206-8115

Phone

(817) 889-6880

Fax

(888) 681-5827

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Augustine Gomez

Title

Owner

Phone

(214) 529-9450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1760749899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 LIVE OAK ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068115",
            "telephone_number": "817-889-6880",
            "fax_number": "888-681-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 LIVE OAK ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068115",
            "telephone_number": "817-889-6880",
            "fax_number": "888-681-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EQUIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-529-9450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "10872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.