San an DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAN AN DME LLC

Practice address

3201 Cherry Ridge St Ste B220
San Antonio, TX 78230-4842

Phone

(210) 787-1656

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Kim Blakeley

Title

Secretary

Phone

(210) 787-1656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1073096418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734294",
            "telephone_number": "210-787-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST STE B220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304842",
            "telephone_number": "210-787-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN AN DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "BLAKELEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "210-787-1656"
    },
    "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 San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.