Active NPI
Andy Medical Equipment Inc
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1841015476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ANDY MEDICAL EQUIPMENT INC
- Practice address
- 9535 Forest LN Ste 215D
Dallas, TX 75243-6194 - Phone
- (214) 272-3380
- Fax
- (214) 643-6229
- NPI assigned
- Nov 19, 2024
- 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
- Mr. Jay Bradford Ives
- Title
- President
- Phone
- (214) 272-3380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
9535 Forest LN Ste 215D
Dallas, TX 75243-6194
Mailing address
9535 Forest LN Ste 215D
Dallas, TX 75243-6194
Phone (214) 272-3380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250418000127 | TX | DME Supplier - Medical Supply Company | 4789109109 | Practice locations: Dallas, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Andy Medical Equipment Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
9535 Forest Ln
Ste 215D
Dallas, TX 75243
Phone (214) 272-3380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1841015476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 FOREST LN STE 215D",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436194",
"telephone_number": "214-272-3380",
"fax_number": "214-643-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9535 FOREST LN STE 215D",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436194",
"telephone_number": "214-272-3380",
"fax_number": "214-643-6229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDY MEDICAL EQUIPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "IVES",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "BRADFORD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-272-3380",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.