Organization Active NPI

Tora Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Taylorsville, UT
National Provider Identifier
1124791561
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TORA MEDICAL SUPPLIES LLC
Practice address
2880 W 4700 S Ste B3
Taylorsville, UT 84129-2156
Phone
(801) 878-4660
Fax
(801) 878-4660
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Dr. Tino Nyawelo
Title
Ceo
Phone
(801) 809-1089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2880 W 4700 S Ste B3
Taylorsville, UT 84129-2156

Mailing address

2880 W 4700 S Ste B3
Taylorsville, UT 84129-2156
Phone (801) 878-4660

National Provider Directory

National Provider Directory

Locations

2880 W 4700 S
Ste B3
Taylorsville, UT 84129
Phone (801) 878-4660

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1124791561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 W 4700 S STE B3",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292156",
            "telephone_number": "801-878-4660",
            "fax_number": "801-878-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W 4700 S STE B3",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292156",
            "telephone_number": "801-878-4660",
            "fax_number": "801-878-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORA MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "NYAWELO",
        "authorized_official_first_name": "TINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-809-1089",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.