DME Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DME SUPPLY

Practice address

4255 Bryant Irvin Rd Ste 103
Ft Worth, TX 76109-4284

Phone

(817) 731-3200

Fax

(817) 318-1543

NPI assigned

Feb 7, 2007

Last updated

Aug 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manmohan S. Sagoo

Title

Owner

Phone

(817) 731-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1831239953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3213",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761133213",
            "telephone_number": "817-731-3200",
            "fax_number": "817-318-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD STE 103",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094284",
            "telephone_number": "817-731-3200",
            "fax_number": "817-318-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "SAGOO",
        "authorized_official_first_name": "MANMOHAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-731-3200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS",
            "identifier": "530068",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.