Organization Active NPI

Sar Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1790952679
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0102081 Issued in TX
Legal business name
SAR MEDICAL SUPPLY INC
Practice address
2351 W Northwest Hwy
Suite 3245
Dallas, TX 75220-4433
Phone
(214) 357-8100
Fax
(214) 594-6894
NPI assigned
May 10, 2008
Organization subpart
Yes
Parent organization
SAR MEDICAL SUPPLY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Ayo O Ogundele, PHD
Title
President
Phone
(214) 357-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0102081 TX Primary

Addresses

Primary practice location

2351 W Northwest Hwy
Suite 3245
Dallas, TX 75220-4433

Mailing address

2351 W Northwest Hwy
Suite 3245
Dallas, TX 75220-4433
Phone (214) 357-8100

Other identifiers 2

IdentifierTypeStateIssuer
2119018-02MedicaidTX
2119018-01MedicaidTX

National Provider Directory

National Provider Directory
Part of
Sar Medical Supply Inc

Locations

2351 W Northwest Hwy
Ste 3245
Dallas, TX 75220
Phone (214) 357-8100

NPI Registry JSON

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1790952679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY",
            "address_2": "SUITE 3245",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204433",
            "telephone_number": "214-357-8100",
            "fax_number": "214-594-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY",
            "address_2": "SUITE 3245",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204433",
            "telephone_number": "214-357-8100",
            "fax_number": "214-594-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAR MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAR MEDICAL SUPPLY INC",
        "enumeration_date": "2008-05-10",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "OGUNDELE",
        "authorized_official_first_name": "AYO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-357-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0102081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119018-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119018-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.