NPIMap

Organization Active NPI

BB Dog LLC

  • Durable Medical Equipment & Medical Supplies
  • Newtonville, MA
National Provider Identifier
1154762375
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4810 Issued in MA
Legal business name
BB DOG LLC
Practice address
336 Walnut St
Newtonville, MA 02460-1923
Phone
(617) 964-3366
Fax
(617) 964-3380
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Steve Luria, LICENSED OPTICIAN
Title
Owner
Phone
(617) 964-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4810 MA Primary

Addresses

Primary practice location

336 Walnut St
Newtonville, MA 02460-1923

Mailing address

336 Walnut St
Newtonville, MA 02460-1923
Phone (617) 964-3366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1154762375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 WALNUT ST",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601923",
            "telephone_number": "617-964-3366",
            "fax_number": "617-964-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 WALNUT ST",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601923",
            "telephone_number": "617-964-3366",
            "fax_number": "617-964-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BB DOG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "LURIA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-964-3366",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtonville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.