Active NPI
Dominion Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Norfolk, VA
National Provider Identifier
1174754063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 904518
- Legal business name
- DOMINION MEDICAL SUPPLIES
- Practice address
- 4110 Granby St
Norfolk, VA 23508 - Phone
- (757) 201-5398
- NPI assigned
- Jul 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Terez L Patterson, B.A
- Title
- Owner/Manager
- Phone
- (757) 201-5398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 904518 | VA | Primary |
Addresses
Primary practice location
4110 Granby St
Norfolk, VA 23508
Mailing address
4110 Granby St
Norfolk, VA 23504-1108
Phone (757) 201-5398
National Provider Directory
National Provider DirectoryLocations
4110 Granby St
Norfolk, VA 23504
Phone (757) 201-5398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248652800000",
"number": "1174754063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 GRANBY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235041108",
"telephone_number": "757-201-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 GRANBY ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23508",
"telephone_number": "757-201-5398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "TEREZ",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "757-201-5398",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "B.A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "904518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.