Djo, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DJO, LLC

Practice address

5617 Highway 153 Ste 204
Hixson, TN 37343-4677

Phone

(423) 419-5155

NPI assigned

Jan 15, 2024

Organization subpart

Yes

Parent organization

DJO, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Andres Moreno III

Title

President

Phone

(800) 321-9549

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 6

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

• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Holt, MI
  • NPI 1003632084

  1456472703

  Same PAC ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Apollo Beach, FL
  • NPI 1023296035

  1456472703

  Same PAC ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Overland Park, KS
  • NPI 1053195446

  1456472703

  Same PAC ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
  • NPI 1497731533

  1456472703

  Same PAC ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Vista, CA
  • NPI 1518708320

  1456472703

  Same PAC ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
  • NPI 1780459388

  1456472703

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Djo LLC9 organizations share this tax ID, including this one

Part of

Djo LLC

Other organizations with this tax ID 8

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

• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Holt, MI
  • NPI 1003632084
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Apollo Beach, FL
  • NPI 1023296035
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Overland Park, KS
  • NPI 1053195446
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
  • NPI 1497731533
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Vista, CA
  • NPI 1518708320
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
  • NPI 1780459388
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Goshen, IN
  • NPI 1861267460
  NPD tax ID
• Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lewisville, TX
  • NPI 1982345302
  NPD tax ID

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1033980271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAKE VISTA DR STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673889",
            "telephone_number": "704-749-6291",
            "fax_number": "704-831-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 HIGHWAY 153 STE 204",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434677",
            "telephone_number": "423-419-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DJO, LLC",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-321-9549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dignified Healthcare
• Matthew Dillard, MS, ATC, LAT
• Sonya Leigh Dillard, APN
• Ashley Rose Dillon, LPC-MHSP
• Kathryn T Dinh, M.D.
• Craig Dockery, NP
• Don F Flanagan DDS Ms PC
• Don F. Flanagan DDS Ms PC
• Richard Donaldson
• Timothy Daniel Dotson, DPT

• Durable Medical Equipment & Medical Supplies in Hixson, TN
• Providers in Hixson, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.