Active NPI
Sar Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1790952679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0102081
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2119018-02 | Medicaid | TX | |
| 2119018-01 | Medicaid | TX |
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.