Organization Active NPI

Med X Change, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Charles, MO
National Provider Identifier
1144580382
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 6, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.