Active NPI
Reliable Medical Products Inc
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
National Provider Identifier
1104823715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 07-579814-D
- Legal business name
- RELIABLE MEDICAL PRODUCTS INC
- Practice address
- 301 W Deer Valley Rd
Ste 1
Phoenix, AZ 85027-2117 - Phone
- (623) 434-5585
- Fax
- (623) 434-5595
- NPI assigned
- Jun 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria A Knutson
- Title
- President
- Phone
- (623) 434-5585
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 07-579814-D | AZ | Primary |
| Customized Equipment (DME) | 332BC3200X | 07-579814-D | AZ |
Addresses
Primary practice location
301 W Deer Valley Rd
Ste 1
Phoenix, AZ 85027-2117
Mailing address
PO Box 43965
Phoenix, AZ 85080-3965
Phone (623) 434-5585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442020 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
301 W Deer Valley Rd
Ste 1
Phoenix, AZ 85027
Phone (623) 434-5585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1104823715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43965",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850803965",
"telephone_number": "623-434-5585",
"fax_number": "623-434-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W DEER VALLEY RD",
"address_2": "STE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272117",
"telephone_number": "623-434-5585",
"fax_number": "623-434-5595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIABLE MEDICAL PRODUCTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-29",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "KNUTSON",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-434-5585"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AZ",
"license": "07-579814-D",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "AZ",
"license": "07-579814-D",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "442020",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.