NPIMap

Organization Active NPI

Better Body Boot Camp Inc

Doing business as DS Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lake Zurich, IL
National Provider Identifier
1043577935
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1043577935 Issued in IL
Legal business name
BETTER BODY BOOT CAMP INC
Doing business as
DS Medical Supply
Practice address
23280 W Lone Tree LN
Lake Zurich, IL 60047-9063
Phone
(847) 323-0326
NPI assigned
Apr 16, 2012
Last updated
Aug 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Mr. Daniel Sussan
Title
Sales
Phone
(847) 323-0326

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1043577935 IL
Preferred Provider Organization 305R00000X 1043577935 IL
Durable Medical Equipment & Medical Supplies 332B00000X 1043577935 IL Primary
Nursing Facility Supplies (DME) 332BN1400X 1043577935 IL
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

23280 W Lone Tree LN
Lake Zurich, IL 60047-9063

Mailing address

23280 W Lone Tree LN
Lake Zurich, IL 60047-9063
Phone (847) 323-0326

Other names 1

  • DS Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1043577935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23280 W LONE TREE LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600479063",
            "telephone_number": "847-323-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23280 W LONE TREE LN",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600479063",
            "telephone_number": "847-323-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER BODY BOOT CAMP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "SUSSAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SALES",
        "authorized_official_telephone_number": "847-323-0326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1043577935",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "1043577935",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "1043577935",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IL",
            "license": "1043577935",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DS Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.