Organization Active NPI

National Seating & Mobility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
National Provider Identifier
1053384602
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NATIONAL SEATING & MOBILITY, INC.
Practice address
1936 South Lynhurst Drive
Suite D
Indianapolis, IN 46241-4636
Phone
(317) 487-0758
Fax
(800) 240-5892
NPI assigned
Feb 13, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Jeffrey Matukewicz
Title
Secretary
Phone
(423) 756-2268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1936 South Lynhurst Drive
Suite D
Indianapolis, IN 46241-4636

Mailing address

5959 Shallowford Rd
Suite 443
Chattanooga, TN 37241-2245
Phone (423) 756-2268

Other identifiers 4

IdentifierTypeStateIssuer
200099080DOtherININDIANA WAIVER
100194330AMedicaidIN
56393OtherININ CHILDREN'S SPECIAL HEALTH CARE SERVICES
0996598MedicaidOH

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1936 S Lynhurst Dr
Ste D
Indianapolis, IN 46241
Phone (317) 487-0758

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1053384602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD",
            "address_2": "SUITE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "372412245",
            "telephone_number": "423-756-2268",
            "fax_number": "423-266-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 SOUTH LYNHURST DRIVE",
            "address_2": "SUITE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414636",
            "telephone_number": "317-487-0758",
            "fax_number": "800-240-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SEATING & MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA WAIVER",
            "identifier": "200099080D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100194330A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN CHILDREN'S SPECIAL HEALTH CARE SERVICES",
            "identifier": "56393",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0996598",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.