Organization Active NPI

American DME

  • Durable Medical Equipment & Medical Supplies
  • Huntington Beach, CA
National Provider Identifier
1093284481
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN DME
Practice address
2124 Main St Ste 160
Huntington Beach, CA 92648-6429
Phone
(714) 823-3004
Fax
(800) 209-3394
NPI assigned
Nov 15, 2018
Reactivated
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Kyle Merrick
Title
Ceo
Phone
(714) 823-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2124 Main St Ste 160
Huntington Beach, CA 92648-6429

Mailing address

2124 Main St Ste 160
Huntington Beach, CA 92648-6429
Phone (714) 823-3004

National Provider Directory

National Provider Directory

Locations

2124 Main St
Ste 160
Huntington Beach, CA 92648
Phone (714) 823-3004

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1093284481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 MAIN ST STE 160",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486429",
            "telephone_number": "714-823-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 MAIN ST STE 160",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486429",
            "telephone_number": "714-823-3004",
            "fax_number": "800-209-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "deactivation_date": "2020-10-14",
        "reactivation_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-823-3004"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

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