The Autism Shoppe

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2006207052 Issued in DE

Legal business name

THE AUTISM SHOPPE

Practice address

506 Hopewell Dr
Clayton, DE 19938-2228

Phone

(302) 242-0942

Fax

(302) 223-6737

NPI assigned

Apr 18, 2008

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Roxanne Gadaingan Simmons

Title

Owner

Phone

(302) 242-0942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1114191350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HOPEWELL DR",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199382228",
            "telephone_number": "302-242-0942",
            "fax_number": "302-223-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HOPEWELL DR",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199382228",
            "telephone_number": "302-242-0942",
            "fax_number": "302-223-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUTISM SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "GADAINGAN SIMMONS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-242-0942",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "2006207052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Clayton, DE
• Providers in Clayton, DE by specialty
• Durable Medical Equipment & Medical Supplies in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.