Organization Active NPI

Kanyon Medicals Corp.

  • Durable Medical Equipment & Medical Supplies
  • Johns Creek, GA
National Provider Identifier
1104107135
Registry record updated Sep 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6375 Issued in GA
Legal business name
KANYON MEDICALS CORP.
Doing business as
K-Med
Practice address
6375 McGinnis Ferry Rd
Johns Creek, GA 30005-3617
Phone
(310) 345-0000
NPI assigned
Sep 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2011

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

Authorized official

Name
Onyema Nkele
Title
President/Ceo
Phone
(310) 345-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6375 GA Primary

Addresses

Primary practice location

6375 McGinnis Ferry Rd
Johns Creek, GA 30005-3617

Mailing address

6375 McGinnis Ferry Rd
Johns Creek, GA 30005-3617
Phone (310) 345-0000

Other names 1

  • K-Med Doing business as

National Provider Directory

National Provider Directory

Locations

6375 McGinnis Ferry Rd
Johns Creek, GA 30005
Phone (310) 345-0000

NPI Registry JSON

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

{
    "created_epoch": "1315094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315094400000",
    "number": "1104107135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 MCGINNIS FERRY RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053617",
            "telephone_number": "310-345-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 MCGINNIS FERRY RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053617",
            "telephone_number": "310-345-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANYON MEDICALS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-04",
        "last_updated": "2011-09-04",
        "status": "A",
        "authorized_official_last_name": "NKELE",
        "authorized_official_first_name": "ONYEMA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-345-0000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "6375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K-Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2011; 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.