NPIMap

Organization Active NPI

Promedics Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Richardson, TX
National Provider Identifier
1972616365
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0059205 Issued in TX
Legal business name
PROMEDICS INCORPORATED
Practice address
1120 Commerce Dr
Richardson, TX 75081-2307
Phone
(972) 840-2400
Fax
(972) 767-3637
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Mr. Felix Echendu
Title
President
Phone
(214) 470-0799

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0059205 TX Primary
Customized Equipment (DME) 332BC3200X 0059205 TX
Dialysis Equipment & Supplies (DME) 332BD1200X 0059205 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0059205 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0059205 TX

Addresses

Primary practice location

1120 Commerce Dr
Richardson, TX 75081-2307

Mailing address

PO Box 742614
Dallas, TX 75374-2614
Phone (214) 470-0799

Other identifiers 3

IdentifierTypeStateIssuer
149557401MedicaidTX
149557403MedicaidTX
149557402MedicaidTX

National Provider Directory

National Provider Directory

Locations

1120 Commerce Dr
Richardson, TX 75081
Phone (972) 840-2400

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1972616365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742614",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753742614",
            "telephone_number": "214-470-0799",
            "fax_number": "972-767-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 COMMERCE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812307",
            "telephone_number": "972-840-2400",
            "fax_number": "972-767-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ECHENDU",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-470-0799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0059205",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0059205",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "TX",
            "license": "0059205",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0059205",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0059205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149557401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149557403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149557402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.