Organization Active NPI

Ken DME Medical Supplies LLC

  • Prosthetic/Orthotic Supplier
  • San Jose, CA
National Provider Identifier
1154944114
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KEN DME MEDICAL SUPPLIES LLC
Practice address
1816 Tully Rd Ste 235
San Jose, CA 95122-4405
Phone
(408) 667-3836
Fax
(408) 274-4878
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Dr. Thuy Frank Tran, DC
Title
Physician/Owner
Phone
(408) 667-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1816 Tully Rd Ste 235
San Jose, CA 95122-4405

Mailing address

1816 Tully Rd Ste 235
San Jose, CA 95122-4405
Phone (408) 667-3836

National Provider Directory

National Provider Directory

Locations

1816 Tully Rd
Ste 235
San Jose, CA 95122
Phone (408) 274-0649

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1154944114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 TULLY RD STE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224405",
            "telephone_number": "408-667-3836",
            "fax_number": "408-274-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 TULLY RD STE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224405",
            "telephone_number": "408-667-3836",
            "fax_number": "408-274-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN DME MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THUY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "408-667-3836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.