NPIMap

Organization Active NPI

Jalopy Shoppe, Inc

  • Durable Medical Equipment & Medical Supplies
  • Lake Jackson, TX
National Provider Identifier
1912922857
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JALOPY SHOPPE, INC
Practice address
459 This Way St
Lake Jackson, TX 77566-5143
Phone
(979) 297-7014
Fax
(409) 654-2068
NPI assigned
Jul 13, 2006
Reactivated
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Scott Kaltrider
Title
President
Phone
(203) 837-2330

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

459 This Way St
Lake Jackson, TX 77566-5143

Mailing address

203 E 6100 S
Salt Lake City, UT 84107-7302
Phone (801) 261-7139

Other identifiers 2

IdentifierTypeStateIssuer
1113458-03MedicaidTX
0117251-01MedicaidTX

Other names 1

  • PRAXAIR HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jalopy Shoppe Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

459 This Way St
Lake Jackson, TX 77566
Phone (979) 297-7014

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1912922857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 6100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077302",
            "telephone_number": "801-261-7139",
            "fax_number": "801-288-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 THIS WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665143",
            "telephone_number": "979-297-7014",
            "fax_number": "409-654-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALOPY SHOPPE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-02-11",
        "deactivation_date": "2008-12-26",
        "reactivation_date": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "KALTRIDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-837-2330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113458-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117251-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAXAIR HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.