DME Advanta, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20162822 Issued in AZ

Legal business name

DME ADVANTA, LLC.

Practice address

4815 E Carefree Hwy
Suite 108
Cave Creek, AZ 85331-4717

Phone

(480) 575-6521

Fax

(480) 522-3939

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gregory John Simms

Title

President

Phone

(480) 575-6521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1053645101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 E CAREFREE HWY",
            "address_2": "SUITE 108",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314717",
            "telephone_number": "480-575-6521",
            "fax_number": "480-522-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 E CAREFREE HWY",
            "address_2": "SUITE 108",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314717",
            "telephone_number": "480-575-6521",
            "fax_number": "480-522-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME ADVANTA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-575-6521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20162822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cherise Mariko Dailey, PHARMD
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• Alicia M Earley, FNP

• Durable Medical Equipment & Medical Supplies in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.