Organization Active NPI

White Mattress Co.

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
National Provider Identifier
1043450257
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01-134826-00-7 Issued in NM
Legal business name
WHITE MATTRESS CO.
Practice address
1010 S Main St
Suite 2
Roswell, NM 88203-5634
Phone
(575) 624-1000
Fax
(575) 623-2000
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mr. Darel D. Devenport
Title
Proprietor
Phone
(575) 624-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01-134826-00-7 NM Primary

Addresses

Primary practice location

1010 S Main St
Suite 2
Roswell, NM 88203-5634

Mailing address

1010 S Main St
Suite 2
Roswell, NM 88203-5634
Phone (575) 624-1000

National Provider Directory

National Provider Directory

Locations

1010 S Main St
Ste 2
Roswell, NM 88203
Phone (575) 624-1000

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1043450257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035634",
            "telephone_number": "575-624-1000",
            "fax_number": "575-623-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035634",
            "telephone_number": "575-624-1000",
            "fax_number": "575-623-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MATTRESS CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "DEVENPORT",
        "authorized_official_first_name": "DAREL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "575-624-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "01-134826-00-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.