Individual provider Active NPI

Martin Claude David, LICENSED DME PROVIDE

  • Home Modifications Contractor
  • Scottsdale, AZ
National Provider Identifier
1073991147
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
CR12 Issued in AZ
Practice address
15029 N Thompson Peak Pkwy
B111-580
Scottsdale, AZ 85260-2217
Phone
(602) 653-1378
Fax
(602) 532-7628
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X CR12 AZ Primary

Addresses

Primary practice location

15029 N Thompson Peak Pkwy
B111-580
Scottsdale, AZ 85260-2217

Mailing address

15029 N Thompson Peak Pkwy
B111-580
Scottsdale, AZ 85260-2217
Phone (602) 653-1378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CR12AZMDHome Modifications Contractor

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1073991147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY",
            "address_2": "B111-580",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602217",
            "telephone_number": "602-653-1378",
            "fax_number": "602-532-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY",
            "address_2": "B111-580",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602217",
            "telephone_number": "602-653-1378",
            "fax_number": "602-532-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARTIN",
        "middle_name": "CLAUDE",
        "credential": "LICENSED DME PROVIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "AZ",
            "license": "CR12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.