City Durable Medical Equipment Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CITY DURABLE MEDICAL EQUIPMENT SUPPLY LLC

Practice address

310 E Interstate 30 Ste B111
Garland, TX 75043-8000

Phone

(214) 258-5822

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Benson Ota Osagiede

Title

Manager

Phone

(214) 876-4705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1801669254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E INTERSTATE 30 STE B111",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438000",
            "telephone_number": "214-258-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E INTERSTATE 30 STE B111",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438000",
            "telephone_number": "214-258-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DURABLE MEDICAL EQUIPMENT SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "OSAGIEDE",
        "authorized_official_first_name": "BENSON",
        "authorized_official_middle_name": "OTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-876-4705"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Garland, TX
• Providers in Garland, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.