Active NPI
Trinity Medical Supply Company
- Durable Medical Equipment & Medical Supplies
- Grand Prairie, TX
National Provider Identifier
1912172487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0096529
- Legal business name
- TRINITY MEDICAL SUPPLY COMPANY
- Practice address
- 2307 Oak LN Ste 106a
Grand Prairie, TX 75051-8275 - Phone
- (972) 266-2709
- Fax
- (972) 266-0355
- NPI assigned
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beatrice Feyisetan
- Title
- Director
- Phone
- (972) 266-2709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0096529 | TX | Primary |
Addresses
Primary practice location
2307 Oak LN Ste 106a
Grand Prairie, TX 75051-8275
Mailing address
2307 Oak LN Ste 106a
Grand Prairie, TX 75051-8275
Phone (972) 266-2709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0096529 | Other | TX | LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Abundant Grace Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Grand Prairie, TX
- NPI 1669773875
Locations
2307 Oak Ln
Ste 106A
Grand Prairie, TX 75051
Phone (972) 266-2709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1912172487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 OAK LN STE 106A",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750518275",
"telephone_number": "972-266-2709",
"fax_number": "972-266-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 OAK LN STE 106A",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750518275",
"telephone_number": "972-266-2709",
"fax_number": "972-266-0355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY MEDICAL SUPPLY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "FEYISETAN",
"authorized_official_first_name": "BEATRICE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "972-266-2709"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0096529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0096529",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.