CRESTLINE ONE SUPPLIES LLC
NPI 1417867631
Durable Medical Equipment & Medical Supplies in Dayton, TX
About Crestline One Supplies Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRESTLINE ONE SUPPLIES LLC (NPI 1417867631) is a healthcare organization registered as a durable medical equipment & medical supplies in Dayton, Texas and active in the NPI registry since September 2026. The organization lists Shaheena Khan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Crestline One Supplies LLC's NPI number?
The NPI number for Crestline One Supplies LLC is 1417867631. It was assigned to this organization in the NPPES registry on September 9, 2026.
Where is Crestline One Supplies LLC located?
Crestline One Supplies LLC is located at 21 Mockingbird Ln, Dayton, TX 77535. The listed phone number is (832) 655-8383.
What is Crestline One Supplies LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
When was this NPI record last updated?
The NPPES record for Crestline One Supplies LLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Crestline One Supplies Llc · NPI 1417867631
Durable Medical Equipment & Medical Supplies organization in Dayton, Texas. Organization record, active in the CMS NPPES registry since September 9, 2026.
## Identity
- **NPI:** 1417867631 (Entity type: Organization)
- **Enumerated:** September 9, 2026
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Organization subpart:** No
- **Authorized official:** Shaheena Khan, OWNER
## Practice location
- **Address:** 21 MOCKINGBIRD LN, Dayton, TX 77535-9215
- **Phone:** (832) 655-8383
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417867631) · Data from the CMS NPPES public registry.