Active NPI
Robert J. Wheeler
- Durable Medical Equipment & Medical Supplies
- Sevierville, TN
National Provider Identifier
1205933801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000609
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3560590 | Medicaid | TN |
Other names 1
- Bess & Company
National Provider Directory
National Provider DirectoryLocations
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.