Active NPI
Doctors Equipment Service Inc
- Customized Equipment (DME)
- Kansas City, MO
National Provider Identifier
1205804689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- DOCTORS EQUIPMENT SERVICE INC
- Practice address
- 6021 Troost Ave
Kansas City, MO 64110-3147 - Phone
- (816) 523-6644
- Fax
- (816) 444-6807
- NPI assigned
- Mar 10, 2006
- 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
- Suzanne Duewel
- Title
- Manager
- Phone
- (816) 523-6644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
6021 Troost Ave
Kansas City, MO 64110-3147
Mailing address
6021 Troost Ave
Kansas City, MO 64110-3147
Phone (816) 523-6644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620074708 | Medicaid | MO | |
| 100441230 A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000307 | MO | DME Supplier - Medical Supply Company | 5991821555 | Practice locations: Kansas City, MO |
National Provider Directory
National Provider Directory- Tax ID family
- Doctors Equipment Service Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Kansas City, MO
- NPI 1487855532
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1841699808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1205804689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 TROOST AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641103147",
"telephone_number": "816-523-6644",
"fax_number": "816-444-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 TROOST AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641103147",
"telephone_number": "816-523-6644",
"fax_number": "816-444-6807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS EQUIPMENT SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "DUEWEL",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "816-523-6644"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620074708",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100441230 A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.