J Rapha DME LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

KY7BBE Issued in LA

Legal business name

J RAPHA DME LLC

Practice address

4747 Earhart Blvd Ste H
New Orleans, LA 70125-1747

Phone

(504) 739-8487

Fax

(504) 833-0983

NPI assigned

Jun 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Phononzell Silent Bass

Title

Ceo

Phone

(504) 739-8487

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1104239128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 EARHART BLVD SUITEH",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 EARHART BLVD STE H",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251747",
            "telephone_number": "504-739-8487",
            "fax_number": "504-833-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RAPHA DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "PHONONZELL",
        "authorized_official_middle_name": "SILENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-739-8487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "KY7BBE",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "KY7BBE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.