Organization Active NPI

Trinity Medical Supply Company

  • Durable Medical Equipment & Medical Supplies
  • Grand Prairie, TX
National Provider Identifier
1912172487
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0096529 Issued in TX
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

Updated by the provider on Apr 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0096529OtherTXLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Abundant Grace Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.