Organization Active NPI

Pulmonary Prevention Plus LLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1912340100
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1001108 Issued in TX
Legal business name
PULMONARY PREVENTION PLUS LLC
Practice address
3030 Lyndon B Johnson Fwy # 940
Dallas, TX 75234-7781
Phone
(469) 371-4910
Fax
(214) 242-3553
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Mr. Daniel Polk Jr.NPI 1801236294
Title
Ceo
Phone
(469) 371-4910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1001108 TX Primary

Addresses

Primary practice location

3030 Lyndon B Johnson Fwy # 940
Dallas, TX 75234-7781

Mailing address

3030 Lyndon B Johnson Fwy # 940
Dallas, TX 75234-7781
Phone (469) 371-4910

Other practice location 1

2735 Villa Creek Dr
#A166
Dallas, TX 75234-7454
Phone (469) 371-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150310001233 TX DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7113243171 Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pulmonary Prevention Plus LLC3030 Lyndon B Johnson Fwy, Dallas, TX 75234-2732(469) 371-4910 Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices|Respiratory Suction Pumps|Ventilators Accessor… Accepts assignmentParticipating since Feb 25, 2015

National Provider Directory

National Provider Directory

Locations

3030 Lyndon B Johnson Fwy
Ste 940
Dallas, TX 75234
Phone (469) 371-4910

2735 Villa Creek Dr
#A166
Dallas, TX 75234
Phone (469) 371-4910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1912340100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LYNDON B JOHNSON FWY # 940",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347781",
            "telephone_number": "469-371-4910",
            "fax_number": "214-242-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LYNDON B JOHNSON FWY # 940",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347781",
            "telephone_number": "469-371-4910",
            "fax_number": "214-242-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2735 Villa Creek Dr",
            "address_2": "#A166",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752347454",
            "country_code": "US",
            "telephone_number": "469-371-4910",
            "fax_number": "214-242-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY PREVENTION PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-371-4910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001108",
            "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 Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.