Organization Active NPI

Med-Link of North Texas Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kennedale, TX
National Provider Identifier
1982680260
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0051649 Issued in TX
Legal business name
MED-LINK OF NORTH TEXAS SYSTEMS, INC.
Practice address
501 W Kennedale Pkwy
Kennedale, TX 76060-4619
Phone
(817) 478-8077
Fax
(817) 483-5009
NPI assigned
Dec 19, 2005
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Nancy M. Pickrell IX, NONE
Title
Office Manager
Phone
(817) 478-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0051649 TX Primary

Addresses

Primary practice location

501 W Kennedale Pkwy
Kennedale, TX 76060-4619

Mailing address

501 W Kennedale Pkwy
Kennedale, TX 76060-4619
Phone (817) 478-8077

Other identifiers 1

IdentifierTypeStateIssuer
155990801MedicaidTX

National Provider Directory

National Provider Directory

Locations

501 W Kennedale Pkwy
Kennedale, TX 76060
Phone (817) 478-8077

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1982680260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W KENNEDALE PKWY",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760604619",
            "telephone_number": "817-478-8077",
            "fax_number": "817-483-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W KENNEDALE PKWY",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760604619",
            "telephone_number": "817-478-8077",
            "fax_number": "817-483-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-LINK OF NORTH TEXAS SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "PICKRELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-478-8077",
        "authorized_official_name_suffix": "IX",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0051649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155990801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennedale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.