Active NPI
Desertmed Supply LLC
- Durable Medical Equipment & Medical Supplies
- Gilbert, AZ
National Provider Identifier
1205323805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mastectomy Fitter
- Gilbert, AZ
- NPI 1194352880
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
- Desert Valley Oral Surgery
- Desert View Family Medicine PLLC
- Desert View Ultrasound, Inc.
- Desert Vista Eye Specialists PC an
- Desert Vista Eyewear
- Adam William Deshler, NURSE PRACTITIONER
- Ma Janice Lalitha A Desiongco, NP
- Catherine Lee Desrosier, PA-C
- Natalia Nicole-Baum Desrosiers
- Mallory Beth Deuink, OTR/L
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.