Doctor DME, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOCTOR DME, LLC

Practice address

2363 Teller Rd
#114
Newbury Park, CA 91320-2228

Phone

(805) 498-6888

Fax

(805) 498-2888

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Sultana Craighead

Title

Correspondent

Phone

(805) 498-6888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1063755478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 TELLER RD",
            "address_2": "#114",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202228",
            "telephone_number": "805-498-6888",
            "fax_number": "805-498-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 TELLER RD",
            "address_2": "#114",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202228",
            "telephone_number": "805-498-6888",
            "fax_number": "805-498-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "CRAIGHEAD",
        "authorized_official_first_name": "SULTANA",
        "authorized_official_title_or_position": "CORRESPONDENT",
        "authorized_official_telephone_number": "805-498-6888"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.