Organization Active NPI

Life Support DME and Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1912051095
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFE SUPPORT DME AND MEDICAL SUPPLIES
Practice address
434 W Kiest Blvd
Suite# 235
Dallas, TX 75224-3400
Phone
(214) 208-8121
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Nakpangi L Atley
Title
Owner
Phone
(469) 766-9509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

434 W Kiest Blvd
Suite# 235
Dallas, TX 75224-3400

Mailing address

434 W Kiest Blvd
Suite# 235
Dallas, TX 75224-3400
Phone (214) 208-8121

National Provider Directory

National Provider Directory

Locations

434 W Kiest Blvd
Ste 235
Dallas, TX 75224
Phone (214) 208-8121

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1912051095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W KIEST BLVD",
            "address_2": "SUITE# 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243400",
            "telephone_number": "214-208-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W KIEST BLVD",
            "address_2": "SUITE# 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243400",
            "telephone_number": "214-208-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT DME AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "ATLEY",
        "authorized_official_first_name": "NAKPANGI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-766-9509"
    },
    "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 Aug 13, 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.