Goldcrest Medical Equipment Services, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOLDCREST MEDICAL EQUIPMENT SERVICES, INC

Practice address

8035 E RL Thrtn Fwy Ste 586
Dallas, TX 75228-7064

Phone

(214) 442-3081

Fax

(972) 499-0018

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Bayo Omotara

Title

President

Phone

(214) 442-3081

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1821645193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 E RL THRTN FWY STE 586",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287064",
            "telephone_number": "214-442-3081",
            "fax_number": "972-499-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E RL THRTN FWY STE 586",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287064",
            "telephone_number": "214-442-3081",
            "fax_number": "972-499-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDCREST MEDICAL EQUIPMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "OMOTARA",
        "authorized_official_first_name": "BAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-442-3081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Hunter Goldberg, M.D.
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• Tina Alison Goldberg, LCSW
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• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, 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 Aug 21, 2019; 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.