High Desert Enterprises LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

HIGH DESERT ENTERPRISES LLC

Practice address

8630 Boeing Dr Ste 12
El Paso, TX 79925-1256

Phone

(915) 779-2200

Fax

(915) 779-2229

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Eric D Green

Title

Owner

Phone

(915) 779-2200

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1881097335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 BOEING DR STE 12",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251256",
            "telephone_number": "915-779-2200",
            "fax_number": "915-779-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 BOEING DR STE 12",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251256",
            "telephone_number": "915-779-2200",
            "fax_number": "915-779-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-779-2200"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in El Paso, TX
• Providers in El Paso, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.