Scooter Store - Albuquerque LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SCOOTER STORE - ALBUQUERQUE LLC

Practice address

3520 Pan American Fwy NE
Suite C
Albuquerque, NM 87107-4769

Phone

(505) 353-3797

NPI assigned

Oct 19, 2006

Organization subpart

Yes

Parent organization

THE SCOOTER STORE - USA, INC.As reported in NPPES

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

Authorized official

Name

Jason Cone

Title

General Counsel & Secretary

Phone

(830) 627-4433

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• The SCOOTER Store Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Bowman, ATP

  • Other Technician
  • Albuquerque, NM
  • NPI 1720369028
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1205918521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310709",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PAN AMERICAN FWY NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074769",
            "telephone_number": "505-353-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER STORE - ALBUQUERQUE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SCOOTER STORE - USA, INC.",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "830-627-4433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58539832",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190837802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90656555",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190837801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The SCOOTER Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Leah Schweri - Asbury, PTA
• Erin Nicole Schwind
• Caleb David Sciarrillo
• Scientific Laboratory Division Nmdoh
• Scoliosis Abq LLC
• Scott Brown MD LLC
• Scott M.Delprete, D.C.
• Scott Miltenberger DMD, PC
• Scott Walker NP-C
• Andrea Scott, LMT

• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.