Organization Active NPI

Richard J Settles

  • Customized Equipment (DME)
  • Mesa, AZ
National Provider Identifier
1124188578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2686 Issued in AZ
Legal business name
RICHARD J SETTLES
Practice address
6704 E Broadway Rd
D-4
Mesa, AZ 85206-1724
Phone
(480) 924-5914
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberly K Titus
Title
Business Administrator
Phone
(480) 924-5914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2686 AZ Primary

Addresses

Primary practice location

6704 E Broadway Rd
D-4
Mesa, AZ 85206-1724

Mailing address

6704 E Broadway Rd
D-4
Mesa, AZ 85206-1724
Phone (480) 924-5914

Other identifiers 1

IdentifierTypeStateIssuer
5611640001OtherAZSUPPLIER NUMBER

Other names 1

  • Medical Supercenter Other name

National Provider Directory

National Provider Directory

Locations

6704 E Broadway Rd
#D4
Mesa, AZ 85206
Phone (480) 924-5914

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124188578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 E BROADWAY RD",
            "address_2": "D-4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061724",
            "telephone_number": "480-924-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 E BROADWAY RD",
            "address_2": "D-4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061724",
            "telephone_number": "480-924-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J SETTLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "480-924-5914"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "2686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER",
            "identifier": "5611640001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Supercenter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.