Organization Active NPI

Charles Nkwo Miller

Doing business as Central Texas Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1942307228
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0082082 Issued in TX
Legal business name
CHARLES NKWO MILLER
Doing business as
Central Texas Medical Equipment & Supplies
Practice address
8212 Georgian Dr
Austin, TX 78753-5904
Phone
(512) 451-9704
Fax
(512) 451-9760
NPI assigned
Sep 20, 2006
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mr. Charles Miller, DME
Title
General Manager
Phone
(512) 451-9704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0082082 TX Primary

Addresses

Primary practice location

8212 Georgian Dr
Austin, TX 78753-5904

Mailing address

8212 Georgian Dr
Austin, TX 78753-5904
Phone (512) 451-9704

Other identifiers 1

IdentifierTypeStateIssuer
1805608MedicaidTX

Other names 1

  • CENTRAL TEXAS MEDICAL EQUIPMENT & SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

8212 Georgian Dr
Austin, TX 78753
Phone (512) 451-9704

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1942307228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 GEORGIAN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535904",
            "telephone_number": "512-451-9704",
            "fax_number": "512-451-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 GEORGIAN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535904",
            "telephone_number": "512-451-9704",
            "fax_number": "512-451-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES NKWO MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "512-451-9704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0082082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL TEXAS MEDICAL EQUIPMENT & SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.