Big Daddy Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BIG DADDY MEDICAL SUPPLY

Practice address

14747 Charlmont Dr
Houston, TX 77083-5645

Phone

(832) 434-7742

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Godwin Godson

Title

Owner

Phone

(832) 434-7742

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1891309209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14747 CHARLMONT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835645",
            "telephone_number": "832-434-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14747 CHARLMONT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835645",
            "telephone_number": "832-434-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG DADDY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "GODSON",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-434-7742"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HOUSTON",
            "affiliation": "N",
            "address_1": "14747 Charlmont Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770835645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.