Organization Active NPI

Accurate Medical Equipment and Supply Co., Inc.

  • Oxygen Equipment & Supplies (DME)
  • Azle, TX
National Provider Identifier
1821166463
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ACCURATE MEDICAL EQUIPMENT AND SUPPLY CO., INC.
Practice address
120 Industrial Ave
Azle, TX 76020-2934
Phone
(817) 444-0013
Fax
(817) 444-0035
NPI assigned
Dec 1, 2006
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Mr. Shannon M Reeves
Title
Ceo
Phone
(817) 878-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

120 Industrial Ave
Azle, TX 76020-2934

Mailing address

1214 S Main St
Fort Worth, TX 76104-4803
Phone (817) 878-5030

Other identifiers 5

IdentifierTypeStateIssuer
015401-0002OtherTXPACIFICARE PROVIDER
8540617OtherTXAETNA NON HMO PROVIDER
0616588OtherTXAETNA HMO PROVIDER
530801OtherTXBCBS OF TEXAS PROVIDER
645665OtherTXUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

120 Industrial Ave
Azle, TX 76020
Phone (817) 444-0013

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1821166463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044803",
            "telephone_number": "817-878-5030",
            "fax_number": "817-878-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202934",
            "telephone_number": "817-444-0013",
            "fax_number": "817-444-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE MEDICAL EQUIPMENT AND SUPPLY CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-878-5030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PROVIDER",
            "identifier": "015401-0002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO PROVIDER",
            "identifier": "8540617",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER",
            "identifier": "0616588",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS PROVIDER",
            "identifier": "530801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "645665",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.