Organization Active NPI

JKM DME, Inc

  • Oxygen Equipment & Supplies (DME)
  • Overland Park, KS
National Provider Identifier
1003697731
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
JKM DME, INC
Practice address
7329 W 97TH St
Overland Park, KS 66212-2210
Phone
(913) 538-5269
Fax
(620) 273-0762
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
JKM DME, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly K Phillips
Title
Manager
Phone
(620) 223-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

7329 W 97TH St
Overland Park, KS 66212-2210

Mailing address

2 W 18TH St
Fort Scott, KS 66701-3177
Phone (620) 223-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325001886 KS DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Pedorthic Personnel 5799942116 Practice locations: Fort Scott, KS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
JKM DME Inc4 organizations share this tax ID, including this one
Part of
JKM DME Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1003697731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 18TH ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013177",
            "telephone_number": "620-223-4141",
            "fax_number": "620-223-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 W 97TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122210",
            "telephone_number": "913-538-5269",
            "fax_number": "620-273-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKM DME, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JKM DME, INC",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "620-223-4141"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.