NPIMap

Organization Active NPI

Solid Rock Enterprises, Inc.

  • Customized Equipment (DME)
  • Salem, VA
National Provider Identifier
1073752309
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2705 112890A Issued in VA
Legal business name
SOLID ROCK ENTERPRISES, INC.
Practice address
428 W Riverside Dr
Salem, VA 24153-6103
Phone
(540) 384-2064
Fax
(540) 384-2065
NPI assigned
Feb 10, 2009
Last updated
Feb 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Mr. Christopher S Moore
Title
President
Phone
(540) 384-2064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2705 112890A VA Primary

Addresses

Primary practice location

428 W Riverside Dr
Salem, VA 24153-6103

Mailing address

428 W Riverside Dr
Salem, VA 24153-6103
Phone (540) 384-2064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1073752309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W RIVERSIDE DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536103",
            "telephone_number": "540-384-2064",
            "fax_number": "540-384-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W RIVERSIDE DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536103",
            "telephone_number": "540-384-2064",
            "fax_number": "540-384-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID ROCK ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-384-2064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2705 112890A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.