NPIMap

Organization Active NPI

Interactive Medical Systems, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Grain Valley, MO
National Provider Identifier
1194058453
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
INTERACTIVE MEDICAL SYSTEMS, INC.
Practice address
1258 NW Eagle Ridge Blvd
Suite B
Grain Valley, MO 64029-8248
Phone
(816) 500-0643
Fax
(888) 877-0212
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dan Reitz
Title
Ceo
Phone
(714) 894-5029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

1258 NW Eagle Ridge Blvd
Suite B
Grain Valley, MO 64029-8248

Mailing address

1107 Fair Oaks Ave
432
South Pasadena, CA 91030-3311
Phone (714) 894-5029

National Provider Directory

National Provider Directory
Tax ID family
Interactive Medical Systems Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1258 NW Eagle Ridge Blvd
Ste B
Grain Valley, MO 64029
Phone (816) 500-0643

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1194058453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 FAIR OAKS AVE",
            "address_2": "432",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303311",
            "telephone_number": "714-894-5029",
            "fax_number": "714-894-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 NW EAGLE RIDGE BLVD",
            "address_2": "SUITE B",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298248",
            "telephone_number": "816-500-0643",
            "fax_number": "888-877-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE MEDICAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "REITZ",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-894-5029"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grain Valley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.