NPIMap

Organization Active NPI

Kinex Medical Company, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
National Provider Identifier
1255770129
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINEX MEDICAL COMPANY, LLC.
Practice address
5959 Shallowford Rd Ste 521
Chattanooga, TN 37421-2236
Phone
(800) 845-6364
Fax
(888) 845-3342
NPI assigned
Jun 24, 2013
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

5959 Shallowford Rd Ste 521
Chattanooga, TN 37421-2236

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170613002173 TN DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 9032321492 Practice locations: Chattanooga, TN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kinex Medical Company, LLC5959 Shallowford Rd, Chattanooga, TN 37421-2236(423) 321-8942 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous E… Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Kinex Medical Company LLC20 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

5959 Shallowford Rd
Ste 521
Chattanooga, TN 37421
Phone (423) 321-8942

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1255770129",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 521",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212236",
            "telephone_number": "800-845-6364",
            "fax_number": "888-845-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINEX MEDICAL COMPANY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.