Organization Active NPI

Subsecondllc

  • Customized Equipment (DME)
  • Niceville, FL
National Provider Identifier
1265320014
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SUBSECONDLLC
Practice address
200 Kelly Rd Ste 203
Niceville, FL 32578-1899
Phone
(850) 826-0112
NPI assigned
Jun 27, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Jeffrey Thompson
Title
Owner/Founder
Phone
(850) 826-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

200 Kelly Rd Ste 203
Niceville, FL 32578-1899

Mailing address

200 Kelly Rd Ste 203
Niceville, FL 32578-1899
Phone (850) 826-0112

Other names 1

  • Subsecondllc Former legal business name

National Provider Directory

National Provider Directory

Locations

200 Kelly Rd
Ste 203
Niceville, FL 32578
Phone (850) 826-0112

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1265320014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KELLY RD STE 203",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781899",
            "telephone_number": "850-826-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KELLY RD STE 203",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781899",
            "telephone_number": "850-826-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSECONDLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "850-826-0112"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Subsecondllc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.