Active NPI
Bluedot Medical Inc
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
National Provider Identifier
1174573513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0317348
- Legal business name
- BLUEDOT MEDICAL INC
- Doing business as
- BlueDot Medical
- Practice address
- 2915 Whitehall Park Dr Ste 200
Charlotte, NC 28273-3433 - Phone
- (704) 344-0700
- Fax
- (704) 344-0701
- NPI assigned
- May 10, 2006
- Organization subpart
- Yes
- Parent organization
- ROTECH HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin L Menchen
- Title
- Chief Operating Officer
- Phone
- (407) 822-4600
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0317348 | NC | Primary |
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
2915 Whitehall Park Dr Ste 200
Charlotte, NC 28273-3433
Mailing address
PO Box 27968
Salt Lake City, UT 84127-0968
Phone (765) 448-6685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703755 | Medicaid | NC |
Other names 1
- BlueDot Medical
National Provider Directory
National Provider Directory- Part of
- Rotech Healthcare Inc
Locations
10345 Nations Ford Rd
Ste A
Charlotte, NC 28273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614643200000",
"number": "1174573513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27968",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270968",
"telephone_number": "765-448-6685",
"fax_number": "765-446-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 WHITEHALL PARK DR STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733433",
"telephone_number": "704-344-0700",
"fax_number": "704-344-0701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEDOT MEDICAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROTECH HEALTHCARE INC",
"enumeration_date": "2006-05-10",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A",
"authorized_official_last_name": "MENCHEN",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "407-822-4600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "0317348",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703755",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BlueDot Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Bluebell ABA Therapy Services North Carolina LLC
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- Bluedot Cares
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- Bluesky Telepsych, SC
- Sara Beth Bluestein, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.