Scooter Store - Phoenix LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SCOOTER STORE - PHOENIX LLC

Doing business as

The SCOOTER Store/Alliance Seating & Mobility

Practice address

23910 N 19TH Ave
Ste 14
Phoenix, AZ 85085-1832

Phone

(602) 843-3050

NPI assigned

Jul 25, 2006

Organization subpart

Yes

Parent organization

THE SCOOTER STORE - USA, INC.As reported in NPPES

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

Authorized official

Name

Jason Cone

Title

General Counsel & Secretary

Phone

(830) 627-4433

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The SCOOTER Store/Alliance Seating & Mobility Doing business as

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1144242264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310709",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23910 N 19TH AVE",
            "address_2": "STE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851832",
            "telephone_number": "602-843-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER STORE - PHOENIX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SCOOTER STORE - USA, INC.",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "830-627-4433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490946",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XDME03165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The SCOOTER Store/Alliance Seating & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.