Davie Medical Equipment, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG00789 Issued in AR

Legal business name

DAVIE MEDICAL EQUIPMENT, INC

Practice address

1101 Highway 62 E
Mountain Home, AR 72653-3315

Phone

(870) 425-0257

Fax

(870) 425-2057

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Sophia L Wheeler

Title

Owner

Phone

(870) 425-0257

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1003955295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2460",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542460",
            "telephone_number": "870-425-0257",
            "fax_number": "870-425-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HIGHWAY 62 E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533315",
            "telephone_number": "870-425-0257",
            "fax_number": "870-425-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIE MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-425-0257"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626318307",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163131716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Daniels, MOT, OTR/L
• James Rudy Darling, RPH
• Lynnette Darracq
• David a. Yates & Associates, LLC
• Lorie Kay Davidson, APRN
• Ashley Davis
• Ashton Raye Davis, LCSW
• Brandilyn Rene Davis, PMHNP-BC
• Emery Davis
• Kiara Davis

• Durable Medical Equipment & Medical Supplies in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.