Organization Active NPI

Heartland Mobility

  • Customized Equipment (DME)
  • Grand Prairie, TX
National Provider Identifier
1982858841
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HEARTLAND MOBILITY
Practice address
405 Liberty PL
Grand Prairie, TX 75052-5731
Phone
(214) 392-2994
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Jason Douglas Jackson
Title
Owner
Phone
(214) 392-2994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

405 Liberty PL
Grand Prairie, TX 75052-5731

Mailing address

2307 Oak LN
100 2A
Grand Prairie, TX 75051-4885
Phone (214) 392-2994

National Provider Directory

National Provider Directory
Tax ID family
Aha Medical Equipment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2307 Oak Ln
Ste 100
Grand Prairie, TX 75051

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1982858841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 OAK LN",
            "address_2": "100 2A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514885",
            "telephone_number": "214-392-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LIBERTY PL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525731",
            "telephone_number": "214-392-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-392-2994"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.