Northeast Pedorthics and DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHEAST PEDORTHICS AND DME LLC

Practice address

999 Warwick Ave
Warwick, RI 02888-3646

Phone

(401) 383-4466

Fax

(401) 383-4598

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Chandonnet, C PED

Title

Principle Manager

Phone

(401) 383-4466

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1053473959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883646",
            "telephone_number": "401-383-4466",
            "fax_number": "401-383-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883646",
            "telephone_number": "401-383-4466",
            "fax_number": "401-383-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PEDORTHICS AND DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "CHANDONNET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRINCIPLE MANAGER",
        "authorized_official_telephone_number": "401-383-4466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30762477",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3740001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Warwick, RI
• Providers in Warwick, RI by specialty
• Durable Medical Equipment & Medical Supplies in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.