Organization Active NPI

Cidel Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Richardson, TX
National Provider Identifier
1992092092
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000565 Issued in TX
Legal business name
CIDEL MEDICAL SUPPLIES INC.
Practice address
804 W Shore Dr
Suite 11
Richardson, TX 75080-5047
Phone
(972) 801-7454
NPI assigned
Jul 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Mr. Emmanuel Ike Ifeji
Title
C.E.O
Phone
(972) 801-7454

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000565 TX Primary
Customized Equipment (DME) 332BC3200X
Nursing Facility Supplies (DME) 332BN1400X 1000565 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 1000565 TX

Addresses

Primary practice location

804 W Shore Dr
Suite 11
Richardson, TX 75080-5047

Mailing address

804 W Shore Dr
Suite 11
Richardson, TX 75080-5047
Phone (972) 801-7454

Other identifiers 1

IdentifierTypeStateIssuer
1000565OtherTXWHOLESALE DISTRIBUTOR LICENSE

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1992092092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W SHORE DR",
            "address_2": "SUITE 11",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805047",
            "telephone_number": "972-801-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W SHORE DR",
            "address_2": "SUITE 11",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805047",
            "telephone_number": "972-801-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIDEL MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "IFEJI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "IKE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "972-801-7454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000565",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "1000565",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "1000565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WHOLESALE DISTRIBUTOR LICENSE",
            "identifier": "1000565",
            "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 Feb 14, 2024; 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.