Active American Scooter Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ACTIVE AMERICAN SCOOTER COMPANY

Doing business as

Active American Mobility and Medical Supply

Practice address

103 Circle Way St
Lake Jackson, TX 77566-5233

Phone

(979) 297-3155

Fax

(979) 297-2695

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Solomon Lowell Adams

Title

Vice President

Phone

(979) 709-9521

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Active American Mobility and Medical Supply Doing business as

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1245344951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CIRCLE WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-297-3155",
            "fax_number": "979-297-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CIRCLE WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-297-3155",
            "fax_number": "979-297-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AMERICAN SCOOTER COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "979-709-9521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15407701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1540775-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active American Mobility and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1St Faithful Home Care Inc.
• A & F Services MD PA (Gulf Coast Arthritis & Rheumatism Clinic)
• A. Mohammad Khan, MD
• Kylee Sue Ackles, MS,ED-SLP
• Lowell Walter Adams Jr., PH.D.
• M Melissa Adams, LCSW
• Affordable Dentures & Implants - Texas, PLLC (Affordable Dentures & Implants - Lake Jackson)
• Sanjay K Aggarwal, MD
• Melissa Aguilar

• Durable Medical Equipment & Medical Supplies in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.