Active NPI
Gerald Anakwenze
- Ambulance
- Mesquite, TX
National Provider Identifier
1811175656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1000093
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000093 | Other | TX | STATE LICENSE |
Other names 1
- White Rock EMS
National Provider Directory
National Provider DirectoryLocations
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.