Access Mobility Vans, Inc.

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Legal business name

ACCESS MOBILITY VANS, INC.

Practice address

1995 E. Norse Ave.
Cudahy, WI 53110

Phone

(414) 264-2000

Fax

(414) 727-6945

NPI assigned

Mar 27, 2020

Organization subpart

No

Name

Jon Tevz

Title

Owner

Phone

(414) 758-2900

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2020.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1164059150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E. NORSE AVE.",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "53110",
            "telephone_number": "414-264-2000",
            "fax_number": "414-727-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E. NORSE AVE.",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "53110",
            "telephone_number": "414-264-2000",
            "fax_number": "414-727-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS MOBILITY VANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "TEVZ",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-758-2900"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.