NPIMap

Organization Active NPI

Vast Durable Medical Equipment Inc

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1023506466
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0583 Issued in ID
Legal business name
VAST DURABLE MEDICAL EQUIPMENT INC
Practice address
2985 S Meridian Rd Ste 140
Meridian, ID 83642-7961
Phone
(208) 860-2849
NPI assigned
Apr 30, 2018
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Ryan Daniel Bias, DC
Title
Manager
Phone
(951) 741-7023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0583 ID Primary

Addresses

Primary practice location

2985 S Meridian Rd Ste 140
Meridian, ID 83642-7961

Mailing address

2985 S Meridian Rd Ste 140
Meridian, ID 83642-7961
Phone (208) 860-2849

Other identifiers 1

IdentifierTypeStateIssuer
1376707034OtherIDNPI

National Provider Directory

National Provider Directory

Locations

2985 S Meridian Rd
Ste 140
Meridian, ID 83642
Phone (208) 571-3744

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1023506466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 S MERIDIAN RD STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427961",
            "telephone_number": "208-860-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 S MERIDIAN RD STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427961",
            "telephone_number": "208-860-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAST DURABLE MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "BIAS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-741-7023",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376707034",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.