Organization Active NPI

Robert J. Wheeler

  • Durable Medical Equipment & Medical Supplies
  • Sevierville, TN
National Provider Identifier
1205933801
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000609 Issued in TN
Legal business name
ROBERT J. WHEELER
Practice address
129 Bruce St
Sevierville, TN 37862-3501
Phone
(865) 429-0064
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Robert Wheeler, OWNER
Title
Owner
Phone
(865) 429-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000609 TN Primary

Addresses

Primary practice location

129 Bruce St
Sevierville, TN 37862-3501

Mailing address

PO Box 513
Kodak, TN 37764-0513
Phone (865) 429-0064

Other identifiers 1

IdentifierTypeStateIssuer
3560590MedicaidTN

Other names 1

  • Bess & Company Doing business as

National Provider Directory

National Provider Directory

Locations

129 Bruce St
Sevierville, TN 37862
Phone (865) 429-0064

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1205933801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377640513",
            "telephone_number": "865-429-0064",
            "fax_number": "865-429-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BRUCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623501",
            "telephone_number": "865-429-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. WHEELER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-429-0064",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3560590",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bess & Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.