Organization Active NPI

Matthew Thayer

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
National Provider Identifier
1093885329
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
F Issued in MI
Legal business name
MATTHEW THAYER
Practice address
3305 Remembrance Rd NW
Grand Rapids, MI 49534-7729
Phone
(616) 826-6231
Fax
(616) 791-4060
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Matthew Thayer
Title
Owner
Phone
(616) 826-6231

Specialties & licenses 1

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

Addresses

Primary practice location

3305 Remembrance Rd NW
Grand Rapids, MI 49534-7729

Mailing address

3305 Remembrance Rd NW
Grand Rapids, MI 49534-7729
Phone (616) 826-6231

Other names 1

  • Bell Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

3305 Remembrance Rd NW
Grand Rapids, MI 49534
Phone (616) 826-6231

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093885329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 REMEMBRANCE RD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347729",
            "telephone_number": "616-826-6231",
            "fax_number": "616-791-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 REMEMBRANCE RD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347729",
            "telephone_number": "616-826-6231",
            "fax_number": "616-791-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW THAYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-826-6231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.