Simon Ogbeide D/B/a Orchard Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5698740001 Issued in TX

Legal business name

SIMON OGBEIDE D/B/A ORCHARD MEDICAL SUPPLY

Practice address

1106 N State Highway 360
Suite 209
Grand Prairie, TX 75050-2559

Phone

(972) 602-1191

Fax

(972) 602-7993

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Simon E Ogbeide

Title

Owner

Phone

(972) 602-1191

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1962548917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N STATE HIGHWAY 360",
            "address_2": "SUITE 209",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502559",
            "telephone_number": "972-602-1191",
            "fax_number": "972-602-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N STATE HIGHWAY 360",
            "address_2": "SUITE 209",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502559",
            "telephone_number": "972-602-1191",
            "fax_number": "972-602-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON OGBEIDE D/B/A ORCHARD MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "OGBEIDE",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-602-1191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "5698740001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842627",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184262701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184262702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sameen Rab Siddiqui
• Luis Sierra-Nieves, P.A.C.
• Signage Health Care Services, Inc
• Lyvonne Greene- Simington, HCS-PROVIDER
• Jason Simmons, LVN
• Christine Simon, DPT
• Joe Simon
• Simon'S Heart P.C.
• Simple Dentist PLLC
• Monica Simpson, LPC

• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.