Individual provider Active NPI

Thomas Laverne Huston

  • Durable Medical Equipment & Medical Supplies
  • Chico, CA
National Provider Identifier
1205051463
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101022 Issued in CA
Practice address
10 Via Flora CT
Chico, CA 95973-0995
Phone
(530) 540-5626
Fax
(530) 894-6115
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101022 CA Primary

Addresses

Primary practice location

10 Via Flora CT
Chico, CA 95973-0995

Mailing address

10 Via Flora CT
Chico, CA 95973-0995
Phone (530) 540-5626

Other identifiers 3

IdentifierTypeStateIssuer
101022OtherCADEPARTMENT OF HEALTH SERV
SR KHB 99288461OtherCASELLERS PERMIT
14105OtherCABUSINESS LICENSE CERT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101022CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Orthopedic Supply, Inc. Durable Medical Equipment & Medical Supplies Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1205051463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VIA FLORA CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730995",
            "telephone_number": "530-540-5626",
            "fax_number": "530-894-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VIA FLORA CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730995",
            "telephone_number": "530-540-5626",
            "fax_number": "530-894-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "THOMAS",
        "middle_name": "LAVERNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH SERV",
            "identifier": "101022",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELLERS PERMIT",
            "identifier": "SR KHB 99288461",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE CERT",
            "identifier": "14105",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.