Individual provider Active NPI

Mario Carver

  • Customized Equipment (DME)
  • Memphis, TN
National Provider Identifier
1245816719
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
008573390 Issued in MS
Practice address
3333 Elvis Presley Blvd Ste 203
Memphis, TN 38116-3288
Phone
(901) 486-9338
Fax
(901) 509-8374
NPI assigned
Mar 23, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 008573390 MS Primary

Addresses

Primary practice location

3333 Elvis Presley Blvd Ste 203
Memphis, TN 38116-3288

Mailing address

PO Box 162398
Memphis, TN 38186-2398
Phone (901) 486-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008573390MSMDCustomized Equipment (DME)

Practice roles

OrganizationSpecialtyStatusNew patients
Mario Carver Customized Equipment CurrentSince Mar 28, 2021 Accepting new patients

Locations

3333 Elvis Presley Blvd
Ste 203
Memphis, TN 38116
Phone (901) 396-6221

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1245816719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162398",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381862398",
            "telephone_number": "901-486-9338",
            "fax_number": "901-502-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 ELVIS PRESLEY BLVD STE 203",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163288",
            "telephone_number": "901-486-9338",
            "fax_number": "901-509-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "MARIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MS",
            "license": "008573390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.