Organization Active NPI

Accurate Medical Equipment and Supply Co.

  • Oxygen Equipment & Supplies (DME)
  • Fort Worth, TX
National Provider Identifier
1902867302
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ACCURATE MEDICAL EQUIPMENT AND SUPPLY CO.
Practice address
1214 S Main St
Fort Worth, TX 76104-4803
Phone
(817) 878-5030
Fax
(817) 878-5127
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Mr. Shannon Michael Reeves
Title
Ceo
Phone
(817) 878-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1214 S Main St
Fort Worth, TX 76104-4803

Mailing address

1214 S Main St
Fort Worth, TX 76104-4803
Phone (817) 878-5030

Other identifiers 6

IdentifierTypeStateIssuer
530801OtherTXBCBS OF TEXAS PROVIDER NU
645665OtherTXUNITED HEALTHCARE PROVIDE
0616588OtherTXAETNA HMO PROVIDER NUMBER
108501105MedicaidTX
015401-0002OtherTXPACIFICARE PROVIDER NUMBE
8540617OtherTXAETNA NON HMO PROVIDER NU

National Provider Directory

National Provider Directory

Locations

120 Industrial Ave
Azle, TX 76020
Phone (817) 444-0013

1214 S Main St
Fort Worth, TX 76104
Phone (817) 878-5030

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1902867302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044803",
            "telephone_number": "817-878-5030",
            "fax_number": "817-878-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044803",
            "telephone_number": "817-878-5030",
            "fax_number": "817-878-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE MEDICAL EQUIPMENT AND SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-878-5030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS PROVIDER NU",
            "identifier": "530801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "645665",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER NUMBER",
            "identifier": "0616588",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108501105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PROVIDER NUMBE",
            "identifier": "015401-0002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO PROVIDER NU",
            "identifier": "8540617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.