Organization Active NPI

Desertmed Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Gilbert, AZ
National Provider Identifier
1205323805
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DESERTMED SUPPLY LLC
Practice address
1458 N Higley Rd Ste 102
Gilbert, AZ 85234-1611
Phone
(801) 510-8286
NPI assigned
Apr 18, 2018
Last updated
Jan 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Ryan Moxley
Title
Owner
Phone
(480) 227-9143

Specialties & licenses 1

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

Addresses

Primary practice location

1458 N Higley Rd Ste 102
Gilbert, AZ 85234-1611

Mailing address

1458 N Higley Rd Ste 102
Gilbert, AZ 85234-9601
Phone (480) 227-9143

National Provider Directory

National Provider Directory

Locations

1458 N Higley Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 272-7563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1205323805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 N HIGLEY RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349601",
            "telephone_number": "480-227-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 N HIGLEY RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341611",
            "telephone_number": "801-510-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERTMED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MOXLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-227-9143"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.