Active NPI
Cidel Medical Supplies Inc.
- Durable Medical Equipment & Medical Supplies
- Richardson, TX
National Provider Identifier
1992092092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1000565
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000565 | Other | TX | WHOLESALE DISTRIBUTOR LICENSE |
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Secured Medical Transport (VAN)
- Richardson, TX
- NPI 1437881166
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.