Organization Active NPI

Krasity'S Medical & Surgical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
National Provider Identifier
1053948737
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KRASITY'S MEDICAL & SURGICAL SUPPLY INC.
Practice address
1825 Bailey St
Dearborn, MI 48124-2488
Phone
(313) 274-2210
Fax
(313) 274-5173
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Stephen Floyd Dent
Title
Operations Manager
Phone
(313) 274-2210

Specialties & licenses 1

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

Addresses

Primary practice location

1825 Bailey St
Dearborn, MI 48124-2488

Mailing address

1825 Bailey St
Dearborn, MI 48124-2488
Phone (313) 274-2210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steve@krasitys.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1053948737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BAILEY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242488",
            "telephone_number": "313-274-2210",
            "fax_number": "313-274-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 BAILEY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242488",
            "telephone_number": "313-274-2210",
            "fax_number": "313-274-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASITY'S MEDICAL & SURGICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "313-274-2210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steve@krasitys.com",
            "affiliation": "N",
            "address_1": "1825 Bailey St",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481242488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.