Active NPI
DME LLC
- Durable Medical Equipment & Medical Supplies
- Beckley, WV
National Provider Identifier
1003413709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DME LLC
- Practice address
- 104 S Eisenhower Dr
Beckley, WV 25801-4930 - Phone
- (304) 255-0925
- Fax
- (304) 255-1005
- NPI assigned
- Oct 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sid Ilangovan
- Title
- Owner/Member
- Phone
- (304) 222-3064
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
104 S Eisenhower Dr
Beckley, WV 25801-4930
Mailing address
104 S Eisenhower Dr
Beckley, WV 25801-4930
Phone (304) 255-0925
Other names 1
- US MEDICAL SUPPLY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1003413709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S EISENHOWER DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014930",
"telephone_number": "304-255-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S EISENHOWER DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014930",
"telephone_number": "304-255-0925",
"fax_number": "304-255-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-06",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "ILANGOVAN",
"authorized_official_first_name": "SID",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "304-222-3064"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "US MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "US MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.