Active NPI
Oluwaseye Adetula
- Durable Medical Equipment & Medical Supplies
- Arlington, TX
National Provider Identifier
1912199407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0094559
- Practice address
- 1506 W Pioneer Pkwy Ste 201
Arlington, TX 76013-6200 - Phone
- (817) 265-0500
- Fax
- (817) 275-7984
- NPI assigned
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0094559 | TX | Primary |
Addresses
Primary practice location
1506 W Pioneer Pkwy Ste 201
Arlington, TX 76013-6200
Mailing address
1506 W Pioneer Pkwy Ste 201
Arlington, TX 76013-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0094559 | TX | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1912199407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 W PIONEER PKWY STE 201",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760136200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 W PIONEER PKWY STE 201",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760136200",
"telephone_number": "817-265-0500",
"fax_number": "817-275-7984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADETULA",
"first_name": "OLUWASEYE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0094559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.