The Img 365

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THE IMG 365

Doing business as

TheIMG365

Practice address

539 W Commerce St # 5724
Dallas, TX 75208-1953

Phone

(682) 352-7748

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Deshonda Chartrice TuckerNPI 1689532665

Title

Owner

Phone

(682) 351-7748

Specialties & licenses 1

Addresses

Other names 1

• TheIMG365 Doing business as

Practitioners 1

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

• Deshonda Chartrice Tucker

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1689532665
  NPD Authorized official

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1801467139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 5724",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "682-352-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 5724",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "682-352-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMG 365",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "DESHONDA",
        "authorized_official_middle_name": "CHARTRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-351-7748"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheIMG365",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Dallas, TX
• Providers in Dallas, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.