Organization Active NPI

Gerald Anakwenze

  • Ambulance
  • Mesquite, TX
National Provider Identifier
1811175656
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000093 Issued in TX
Legal business name
GERALD ANAKWENZE
Practice address
15330 LBJ Fwy
#1061
Mesquite, TX 75150-1223
Phone
(310) 529-4823
Fax
(310) 872-5317
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Gerald Anakwenze
Title
Owner
Phone
(310) 529-4823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000093 TX Primary

Addresses

Primary practice location

15330 LBJ Fwy
#1061
Mesquite, TX 75150-1223

Mailing address

1515 N Town East Blvd
#138-248
Mesquite, TX 75150-4157
Phone (310) 529-4823

Other identifiers 1

IdentifierTypeStateIssuer
1000093OtherTXSTATE LICENSE

Other names 1

  • White Rock EMS Doing business as

National Provider Directory

National Provider Directory

Locations

1515 N Town East Blvd
#138248
Mesquite, TX 75150

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1811175656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N TOWN EAST BLVD",
            "address_2": "#138-248",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504157",
            "telephone_number": "310-529-4823",
            "fax_number": "310-872-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15330 LBJ FWY",
            "address_2": "#1061",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501223",
            "telephone_number": "310-529-4823",
            "fax_number": "310-872-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD ANAKWENZE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "ANAKWENZE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-529-4823"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1000093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Rock EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.