Organization Active NPI

Skybest Security

  • Customized Equipment (DME)
  • West Jefferson, NC
National Provider Identifier
1093165003
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SKYBEST SECURITY
Practice address
1200 NC Highway 194 N
West Jefferson, NC 28694-8133
Phone
(336) 876-6262
NPI assigned
Jun 21, 2016
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mr. Jonathan David Risk INPI 1578913836
Title
Supervisor
Phone
(336) 876-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NC Primary

Addresses

Primary practice location

1200 NC Highway 194 N
West Jefferson, NC 28694-8133

Mailing address

1200 NC Highway 194 N
West Jefferson, NC 28694-8133
Phone (339) 876-6262

Other identifiers 2

IdentifierTypeStateIssuer
3408015OtherNCCAP CHOICE
3408015OtherNCCAP DA

National Provider Directory

National Provider Directory

Locations

1200 NC Highway 194 N
West Jefferson, NC 28694
Phone (336) 876-6262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1093165003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NC HIGHWAY 194 N",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948133",
            "telephone_number": "339-876-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NC HIGHWAY 194 N",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948133",
            "telephone_number": "336-876-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYBEST SECURITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "RISK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "336-876-6262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP CHOICE",
            "identifier": "3408015",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP DA",
            "identifier": "3408015",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.