Organization Active NPI

Deadalus Medical Supply. LLC

  • Durable Medical Equipment & Medical Supplies
  • Katy, TX
National Provider Identifier
1912302126
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEADALUS MEDICAL SUPPLY. LLC
Practice address
23225 Kingsland Blvd Ste 600
Katy, TX 77494-3705
Phone
(281) 395-9090
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Kathryn Kalmes
Title
Managing Member
Phone
(281) 395-9090

Specialties & licenses 1

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

Addresses

Primary practice location

23225 Kingsland Blvd Ste 600
Katy, TX 77494-3705

Mailing address

23225 Kingsland Blvd Ste 600
Katy, TX 77494-3705
Phone (281) 395-9090

Other names 1

  • Core Medical Doing business as

National Provider Directory

National Provider Directory

Locations

23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1912302126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943705",
            "telephone_number": "281-395-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23225 KINGSLAND BLVD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943705",
            "telephone_number": "281-395-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEADALUS MEDICAL SUPPLY. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "KALMES",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-395-9090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.