Organization Active NPI

Dura Medic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1235625641
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DURA MEDIC, LLC
Practice address
8044 Summa Ave # B-2
Baton Rouge, LA 70809-3411
Phone
(512) 320-5400
NPI assigned
Jul 9, 2018
Organization subpart
Yes
Parent organization
DURA MEDIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Tim Tidd
Title
Authorized Official
Phone
(512) 320-5400

Specialties & licenses 1

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

Addresses

Primary practice location

8044 Summa Ave # B-2
Baton Rouge, LA 70809-3411

Mailing address

PO Box 2728
Austin, TX 78768-2728
Phone (512) 320-5400

National Provider Directory

National Provider Directory
Part of
Dura Medic LLC

Locations

8044 Summa Ave
#B2
Baton Rouge, LA 70809
Phone (512) 320-5400

8044 Summa Ave
Ste B2
Baton Rouge, LA 70809
Phone (512) 320-5400

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1235625641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2728",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787682728",
            "telephone_number": "512-320-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 SUMMA AVE # B-2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093411",
            "telephone_number": "512-320-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURA MEDIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DURA MEDIC, LLC",
        "enumeration_date": "2018-07-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TIDD",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "512-320-5400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2019; 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.