NPIMap

Organization Active NPI

Occumed

  • Specialist
  • Garland, TX
National Provider Identifier
1851550370
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OCCUMED
Practice address
2046 Forest LN
Suite 180
Garland, TX 75042-7958
Phone
(972) 494-1419
Fax
(972) 494-2069
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Matt Middlebrook
Title
Manager
Phone
(972) 494-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2046 Forest LN
Suite 180
Garland, TX 75042-7958

Mailing address

2046 Forest LN
Suite 180
Garland, TX 75042-7958
Phone (972) 494-1419

National Provider Directory

National Provider Directory
Tax ID family
Occumed2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1851550370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 FOREST LN",
            "address_2": "SUITE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427958",
            "telephone_number": "972-494-1419",
            "fax_number": "972-494-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 FOREST LN",
            "address_2": "SUITE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427958",
            "telephone_number": "972-494-1419",
            "fax_number": "972-494-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-494-1419"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.