Organization Active NPI

Shenk Enterprises LLC

Doing business as Vienna Medical

  • Durable Medical Equipment & Medical Supplies
  • Debary, FL
National Provider Identifier
1194828616
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHENK ENTERPRISES LLC
Doing business as
Vienna Medical
Practice address
2836 Enterprise Rd
Ste 5
Debary, FL 32713-5210
Phone
(386) 753-1959
Fax
(386) 753-1949
NPI assigned
Sep 7, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. Richard Eugene Shenk
Title
Ceo
Phone
(386) 753-1959

Specialties & licenses 1

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

Addresses

Primary practice location

2836 Enterprise Rd
Ste 5
Debary, FL 32713-5210

Mailing address

2836 Enterprises Rd
Ste 5
Debary, FL 32725
Phone (386) 753-1959

Other names 1

  • Vienna Medical Doing business as

National Provider Directory

National Provider Directory

Locations

985 Harley Strickland Blvd
Ste 100
Orange City, FL 32763
Phone (386) 774-2440

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1194828616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 ENTERPRISES RD",
            "address_2": "STE 5",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-753-1959",
            "fax_number": "386-753-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 ENTERPRISE RD",
            "address_2": "STE 5",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135210",
            "telephone_number": "386-753-1959",
            "fax_number": "386-753-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENK ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SHENK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-753-1959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vienna Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.