NPI Code Detail JSON Logo

1053187369 NPI number — KMEDICALSUPPLY1.COM

NPI Number: 1053187369
Health Care Provider/Practitioner: KMEDICALSUPPLY1.COM

Information about “1053187369” NPI (KMEDICALSUPPLY1.COM) exists in 1053187369 in HTML format HTML  |  1053187369 in plain Text format TXT  |  1053187369 in PDF (Portable Document Format) PDF  |  1053187369 in an XML format XML  formats.

NPI Number : 1053187369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053187369",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KMEDICALSUPPLY1.COM",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2146 SWORD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GARLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75044-6028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-209-3888",
    "MailingAddressFaxNumber": "972-767-0148",
    "FirstLinePracticeLocationAddress": "2146 SWORD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARLAND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75044-6028",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-209-3888",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/28/2023",
    "LastUpdateDate": "12/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TRAN",
    "AuthorizedOfficialFirstName": "KIMLOAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "972-209-3888",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332S00000X",
          "TaxonomyName": "Hearing Aid Equipment",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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