Active NPI
Dearborn Medical Supplies Inc
- Prosthetic/Orthotic Supplier
- Dearborn, MI
National Provider Identifier
1013964584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- DEARBORN MEDICAL SUPPLIES INC
- Practice address
- 10645 W Warren Ave
Dearborn, MI 48126-1540 - Phone
- (313) 415-4667
- Fax
- (313) 581-8377
- NPI assigned
- May 28, 2006
- 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
- Mr. Jim Bouhachem
- Title
- Ceo
- Phone
- (313) 415-4667
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
10645 W Warren Ave
Dearborn, MI 48126-1540
Mailing address
10645 W Warren Ave
Dearborn, MI 48126-1540
Phone (313) 415-4667
National Provider Directory
National Provider Directory- Tax ID family
- Dearborn Medical Supplies Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
- NPI 1336222843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1013964584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10645 W WARREN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261540",
"telephone_number": "313-415-4667",
"fax_number": "313-581-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10645 W WARREN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261540",
"telephone_number": "313-415-4667",
"fax_number": "313-581-8377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEARBORN MEDICAL SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BOUHACHEM",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "313-415-4667",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
- Dearborn Kidney Center LLC
- Dearborn Life Care Physical Therapy, LLC
- Dearborn Medical & Rehabilitation Center
- Dearborn Medical Associates, P.C.
- Dearborn Medical Institute PC
- Dearborn Medical Supply
- Dearborn Medical Walkin Clinic
- Dearborn Nuro Clinic PC
- Dearborn Obstetrical and Gynecological Associates, P.C.
- Dearborn Oral & Maxillofacial Surgery Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.