Organization Active NPI

Sikutwa Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1952594368
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0082334 Issued in TX
Legal business name
SIKUTWA MEDICAL SUPPLY
Practice address
7557 Rambler Rd
Ste 700
Dallas, TX 75231-4142
Phone
(972) 235-6108
Fax
(972) 437-3157
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mr. Lawrence Sikutwa II
Title
Manager
Phone
(972) 235-6108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0082334 TX Primary

Addresses

Primary practice location

7557 Rambler Rd
Ste 700
Dallas, TX 75231-4142

Mailing address

7557 Rambler Rd
Ste 700
Dallas, TX 75231-4142
Phone (972) 235-6108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1952594368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "972-235-6108",
            "fax_number": "972-437-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "972-235-6108",
            "fax_number": "972-437-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKUTWA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SIKUTWA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-235-6108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0082334",
            "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 Apr 29, 2008; 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.