Summit Auto & Cycle

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUMMIT AUTO & CYCLE

Practice address

18956 480TH St
Zumbrota, MN 55992-7283

Phone

(507) 696-5217

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Izaak Decook

Title

Owner

Phone

(507) 696-5217

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1194193318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18956 480TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559927283",
            "telephone_number": "507-696-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18956 480TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559927283",
            "telephone_number": "507-696-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT AUTO & CYCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DECOOK",
        "authorized_official_first_name": "IZAAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-696-5217"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Zumbrota, MN
• Providers in Zumbrota, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.