Activmedical Denton, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0030874 Issued in TX

Legal business name

ACTIVMEDICAL DENTON, INC

Practice address

2317 W University Dr
Suite 101
Denton, TX 76201-1600

Phone

(940) 484-0228

Fax

(940) 484-0766

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

James Beall Garner

Title

President

Phone

(940) 484-0228

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• ActivMedical Doing business as

Locations

Practitioners 1

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

• James Bradley Brennan, R.PH.

  • Pharmacist
  • Lakewood Village, TX
  • NPI 1922372606
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1770577660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 W UNIVERSITY DR",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011600",
            "telephone_number": "940-484-0228",
            "fax_number": "940-484-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 W UNIVERSITY DR",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011600",
            "telephone_number": "940-484-0228",
            "fax_number": "940-484-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVMEDICAL DENTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BEALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-484-0228"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0030874",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0030874",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0030874",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0030874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108415401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079217801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE ORTHO AND PROS",
            "identifier": "517284",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10007096",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136319-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "505306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActivMedical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ActivMedical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Denton, TX
• Providers in Denton, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.