Organization Active NPI

Trailercraft, Inc.

  • Customized Equipment (DME)
  • Anchorage, AK
National Provider Identifier
1083744551
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
27465 Issued in AK
Legal business name
TRAILERCRAFT, INC.
Practice address
1301 E 64TH Ave
Anchorage, AK 99518-1908
Phone
(907) 563-3631
Fax
(907) 561-4995
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammie Stoops
Title
Accounts Receivable
Phone
(907) 563-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 27465 AK Primary

Addresses

Primary practice location

1301 E 64TH Ave
Anchorage, AK 99518-1908

Mailing address

1301 E 64TH Ave
Anchorage, AK 99518-1908
Phone (907) 563-3631

Other identifiers 2

IdentifierTypeStateIssuer
MS7670MedicaidAK
EM7670MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083744551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E 64TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181908",
            "telephone_number": "907-563-3631",
            "fax_number": "907-561-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 64TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181908",
            "telephone_number": "907-563-3631",
            "fax_number": "907-561-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILERCRAFT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOOPS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "907-563-3631"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AK",
            "license": "27465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS7670",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EM7670",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.