Orthospine DME, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOSPINE DME, LLC

Practice address

5315 Old Highway 11 Ste 4
Hattiesburg, MS 39402-6224

Phone

(800) 484-1851

Fax

(800) 484-1851

NPI assigned

Apr 23, 2020

Organization subpart

No

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

Authorized official

Name

Mr. David Cook

Title

Ceo/President

Phone

(601) 402-3807

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OrthoSpine DME Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1124648860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 OLD HIGHWAY 11",
            "address_2": "STE 4",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026224",
            "telephone_number": "800-484-1851",
            "fax_number": "800-484-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 OLD HIGHWAY 11 STE 4",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026224",
            "telephone_number": "800-484-1851",
            "fax_number": "800-484-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPINE DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "601-402-3807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI BOARD OF PHARMACY -  MEDICAL EQUIPMENT SUPPLIER LICENSE",
            "identifier": "18041-11.1",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcook@orthospinedme.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5315 Old Highway 11 Ste 4",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394026224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OrthoSpine DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.