TIDE MEDICAL SUPPLY
NPI 1821276973
Durable Medical Equipment & Medical Supplies in Grand Prairie, TX

Active since January 31, 2008
2304 OAK LN, SUITE 13, GRAND PRAIRIE, TX 75051(972) 264-3000(972) 264-3000 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tide Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDE MEDICAL SUPPLY (NPI 1821276973) is a healthcare organization registered as a durable medical equipment & medical supplies in Grand Prairie, Texas and active in the NPI registry since January 2008. The organization lists Thomas Adedayo Ogungbire, Owner, as its authorized official.

NPPES Registry Identity

NPI1821276973
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTIDE MEDICAL SUPPLY
Location Address2304 OAK LN, SUITE 13Grand Prairie, TX 75051-8812
Mailing Address2304 Oak Ln, Suite 13Grand Prairie, TX 75051-8812 · (972) 264-3000 · Fax (972) 264-3000
Fax(972) 264-3000
Organization SubpartNo
Authorized OfficialThomas Adedayo OgungbireOwner · (972) 264-3000
Enumeration DateJanuary 31, 2008
NPI 1821276973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in TX · 0089915
Definition
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.
2304 OAK LN, Grand Prairie, TX 75051

Other Identifiers 2

Medicaid187864701TX
Medicare NSC5763750001TX

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
2304 OAK LN, SUITE 13
GRAND PRAIRIE, TX 75051
Durable Medical Equipment & Medical Supplies
2304 OAK LN, SUITE 1 & 2
GRAND PRAIRIE, TX 75051
Home Health
2304 OAK LN, SUITE 221
GRAND PRAIRIE, TX 75051
Non-emergency Medical Transport (VAN)
2304 OAK LN, SUITE 5
GRAND PRAIRIE, TX 75051
Case Management
2304 OAK LN, #15
GRAND PRAIRIE, TX 75051
Home Health
2304 OAK LN, STE 201
GRAND PRAIRIE, TX 75051
Psychiatry & Neurology (Psychiatry)
2304 OAK LN
GRAND PRAIRIE, TX 75051
Non-emergency Medical Transport (VAN)
2304 OAK LN, SUITE 5
GRAND PRAIRIE, TX 75051

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 Tide Medical Supply's NPI number?

The NPI number for Tide Medical Supply is 1821276973. It was assigned to this organization in the NPPES registry on January 31, 2008.

Where is Tide Medical Supply located?

Tide Medical Supply is located at 2304 Oak Ln Suite 13, Grand Prairie, TX 75051. The listed phone number is (972) 264-3000.

What is Tide Medical Supply'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 Tide Medical Supply was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.