ACTIVMEDICAL DENTON, INC (NPI# 1770577660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770577660 |
| Entity Type | Organization |
| Organization Name | ACTIVMEDICAL DENTON, INC |
| Other Organization Name | ACTIVMEDICAL |
| Practice Address |
2317 W University Dr Suite 101 Denton TX 76201-1600 |
| Practice Telephone | 9404840228 |
| Practice Fax Number | 9404840766 |
| Mailing Telephone | 9404840228 |
| Mailing Fax Number | 9404840766 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | JAMES BEALL GARNER (PRESIDENT) |
| Authorized Official Telephone | 9404840228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0030874 | TX | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
0030874 | TX | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0030874 | TX | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0030874 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | HMO BLUE ORTHO AND PROS | 517284 | 01 |
| TX | AMERIGROUP | 10007096 | 01 |
| TX | 0136319-01 | 05 | |
| TX | 108415401 | 05 | |
| TX | BCBS | 505306 | 01 |
| TX | 079217801 | 05 |
| Other Name | Type Code |
|---|---|
| ActivMedical | Doing Business As Name - Organization |
| Street Address |
2317 W UNIVERSITY DR SUITE 101 |
| City | DENTON |
| State | TX |
| Zip Code | 76201-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396185484 | Christopher Paul Treadaway | Hearing Instrument Specialist | 2317 W University Dr, #107, Denton, TX 76201-1600 | 2013-07-03 |
| 1760616361 | Beth E Bergeron | Occupational Therapist | 2317 W University Dr, Suite A-7, Denton, TX 76201-1600 | 2009-05-11 |
| 1467532580 | Brett Nielsen | Dentist | 2317 W University Dr, Suite B-8, Denton, TX 76201-1600 | 2006-10-16 |
| 1518047638 | John Franz Bell | Dentist | 2317 W University Dr, Suite B-8, Denton, TX 76201-1600 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792169 | Doctx3 Pllc | Durable Medical Equipment & Medical Supplies | 3100 Unicorn Lake Blvd Ste 120, Denton, TX 76210-1544 | 2019-04-16 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1386185700 | Cpap Guy/goodsleephealthcaresolutions | Durable Medical Equipment & Medical Supplies | 525 Fort Worth Dr Ste 211, Denton, TX 76201-7179 | 2017-03-18 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| 1982008629 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 3930 Teasley Ln, Denton, TX 76210-8422 | 2014-10-09 |
| 1699023671 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 610 Legion Rd, Denton, MD 21629-2040 | 2012-08-22 |
| 1760799712 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2750 W University Dr, Denton, TX 76201-1628 | 2010-09-10 |
| 1871825976 | Megs Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 603 Sunset St, Denton, TX 76201-2665 | 2010-02-01 |
| 1629278403 | Health United Care | Durable Medical Equipment & Medical Supplies | 1600 Oakland St., Austin 204, Denton, TX 76209 | 2007-07-20 |
| 1538228689 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 310 Vernon St., Denton, NC 27239-8913 | 2006-12-06 |
| Find all providers in DENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.