NPIMap

Organization Active NPI

Tekivan Group, Inc.

Doing business as Tekivan Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Woodbridge, VA
National Provider Identifier
1922689827
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TEKIVAN GROUP, INC.
Doing business as
Tekivan Medical Supplies
Practice address
4152 Dale Blvd
Woodbridge, VA 22193-2225
Phone
(240) 988-3818
NPI assigned
Apr 21, 2021
Last updated
Jan 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Kehinde Awosika
Title
President
Phone
(703) 721-8166

Specialties & licenses 1

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

Addresses

Primary practice location

4152 Dale Blvd
Woodbridge, VA 22193-2225

Mailing address

4152 Dale Blvd
Woodbridge, VA 22193-2225
Phone (240) 988-3818

Other names 1

  • Tekivan Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

4152 Dale Blvd
Woodbridge, VA 22193
Phone (240) 988-3818

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1922689827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932225",
            "telephone_number": "240-988-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932225",
            "telephone_number": "240-988-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEKIVAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-721-8166"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tekivan Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.