Active NPI
Med X Change, LLC
- Durable Medical Equipment & Medical Supplies
- Saint Charles, MO
National Provider Identifier
1144580382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MED X CHANGE, LLC
- Practice address
- 325 S 5TH St
Saint Charles, MO 63301-2630 - Phone
- (636) 949-5660
- Fax
- (636) 949-5665
- NPI assigned
- May 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris Mayes, P.T.A.
- Title
- Physical Therapy Assistant
- Phone
- (636) 949-5660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
325 S 5TH St
Saint Charles, MO 63301-2630
Mailing address
325 S 5TH St
Saint Charles, MO 63301-2630
Phone (636) 949-5660
National Provider Directory
National Provider DirectoryLocations
3710 Mueller Rd
Saint Charles, MO 63301
325 S 5th St
Saint Charles, MO 63301
Phone (636) 949-5660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578268800000",
"number": "1144580382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S 5TH ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012630",
"telephone_number": "636-949-5660",
"fax_number": "636-949-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S 5TH ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012630",
"telephone_number": "636-949-5660",
"fax_number": "636-949-5665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED X CHANGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-22",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A",
"authorized_official_last_name": "MAYES",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
"authorized_official_telephone_number": "636-949-5660",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T.A."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.