NPIMap

Organization Active NPI

Kinex Medical Company LLC

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1225169436
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME.000310 Issued in LA
Legal business name
KINEX MEDICAL COMPANY LLC
Practice address
8241 Summa Ave Ste D
Baton Rouge, LA 70809-3735
Phone
(800) 845-6364
NPI assigned
Mar 8, 2007
Reactivated
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Michael Buckholdt
Title
President
Phone
(800) 845-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DME.000310 LA Primary

Addresses

Primary practice location

8241 Summa Ave Ste D
Baton Rouge, LA 70809-3735

Mailing address

1801 Airport Rd
Suite D
Waukesha, WI 53188-2477
Phone (800) 845-6364

Other identifiers 1

IdentifierTypeStateIssuer
1140031MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Kinex Medical Company20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

420 31st St
Unit J21
Kenner, LA 70065

411 E Bert Kouns Industrial Loop
Unit 3300
Shreveport, LA 71106

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1225169436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AIRPORT RD",
            "address_2": "SUITE D",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882477",
            "telephone_number": "800-845-6364",
            "fax_number": "888-845-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 SUMMA AVE STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093735",
            "telephone_number": "800-845-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINEX MEDICAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "deactivation_date": "2009-08-17",
        "reactivation_date": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-845-6364"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "DME.000310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140031",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.