Organization
ACTIVMEDICAL DENTON, INC
Active
Other names
ActivMedical
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BEALL GARNER (PRESIDENT)
(940) 484-0228
Entity
Organization
Contact information
Practice address
2317 W UNIVERSITY DR, SUITE 101, DENTON, TX 76201-1600
(940) 484-0228
(940) 484-0766
Mailing address
2317 W UNIVERSITY DR, SUITE 101, DENTON, TX 76201-1600
(940) 484-0228
(940) 484-0766
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0030874
TX
332BC3200X
Customized Equipment (DME)
0030874
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0030874
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0030874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136319-01
—
TX
05
—
079217801
—
TX
01
—
10007096
AMERIGROUP
TX
05
—
108415401
—
TX
01
—
505306
BCBS
TX
01
—
517284
HMO BLUE ORTHO AND PROS
TX
Enumeration date
09/07/2005
Last updated
04/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up