Organization Active NPI

City of Grapevine

  • Land Ambulance
  • Grapevine, TX
National Provider Identifier
1790790947
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
220025 Issued in TX
Legal business name
CITY OF GRAPEVINE
Practice address
701 Turner Rd
Grapevine, TX 76051-3301
Phone
(972) 602-2060
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Jamey Shipler
Title
Battalion Chief EMS
Phone
(817) 410-4435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 220025 TX Primary

Addresses

Primary practice location

701 Turner Rd
Grapevine, TX 76051-3301

Mailing address

PO Box 223681
Dallas, TX 75222-3681
Phone (800) 602-2060

Other identifiers 2

IdentifierTypeStateIssuer
086567701MedicaidTX
504646OtherTXBC/BS OF TEXAS

Other names 1

  • Grapevine Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060314000596 TX Part B Supplier - Ambulance Service Supplier 9537176698 Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

200 S Main St
Grapevine, TX 76051
Phone (817) 410-4400

2801 Panhandle Dr
Grapevine, TX 76051
Phone (817) 410-8111

1007 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 410-4400

701 Turner Rd
Grapevine, TX 76051
Phone (817) 410-4400

2801 N Grapevine Mills Blvd
Grapevine, TX 76051
Phone (972) 724-9051

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1790790947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223681",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752223681",
            "telephone_number": "800-602-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TURNER RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513301",
            "telephone_number": "972-602-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GRAPEVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "SHIPLER",
        "authorized_official_first_name": "JAMEY",
        "authorized_official_title_or_position": "BATTALION CHIEF EMS",
        "authorized_official_telephone_number": "817-410-4435"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "220025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086567701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "504646",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grapevine Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.