Organization Active NPI

Webb Kohler Medical Equipment and Supply

  • Durable Medical Equipment & Medical Supplies
  • Arlington, TX
National Provider Identifier
1770619405
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0040686 Issued in TX
Legal business name
WEBB KOHLER MEDICAL EQUIPMENT AND SUPPLY
Practice address
2204 Park Springs Blvd
Arlington, TX 76013
Phone
(817) 861-4631
Fax
(817) 861-4638
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Ms. Paulette Marie Salvant, RPH
Title
Ceo Pic
Phone
(817) 861-4631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0040686 TX Primary

Addresses

Primary practice location

2204 Park Springs Blvd
Arlington, TX 76013

Mailing address

PO Box 173189
Arlington, TX 76013-3189
Phone (817) 861-4631

Other identifiers 2

IdentifierTypeStateIssuer
10023587OtherTXAMERIGROUP
1812371000OtherTXACS US DEPT OF LABOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1770619405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173189",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133189",
            "telephone_number": "817-861-4631",
            "fax_number": "817-861-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PARK SPRINGS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76013",
            "telephone_number": "817-861-4631",
            "fax_number": "817-861-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB KOHLER MEDICAL EQUIPMENT AND SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SALVANT",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO PIC",
        "authorized_official_telephone_number": "817-861-4631",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0040686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10023587",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS US DEPT OF LABOR",
            "identifier": "1812371000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.