NPIMap

Organization Active NPI

180 Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
National Provider Identifier
1184951295
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
W002081 Issued in AZ
Legal business name
180 MEDICAL, INC.
Practice address
5016 S Ash Ave Ste 109
Tempe, AZ 85282-6845
Phone
(408) 584-6638
Fax
(888) 718-0633
NPI assigned
Nov 10, 2009
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Mr. Jeffery B Hendrix
Title
Cfo
Phone
(405) 443-2985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X W002081 AZ Primary

Addresses

Primary practice location

5016 S Ash Ave Ste 109
Tempe, AZ 85282-6845

Mailing address

8516 NW Expressway
Oklahoma City, OK 73162-6010
Phone (877) 688-2729

National Provider Directory

National Provider Directory
Tax ID family
180 Medical Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1725 W University Dr
Ste 111
Tempe, AZ 85281

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1184951295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626010",
            "telephone_number": "877-688-2729",
            "fax_number": "888-718-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 S ASH AVE STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826845",
            "telephone_number": "408-584-6638",
            "fax_number": "888-718-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-443-2985",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "W002081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.