SD DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SD DME LLC

Practice address

550 S Frederick Ave Apt 319
Gaithersburg, MD 20877-6313

Phone

(405) 444-7858

NPI assigned

Jun 18, 2026

Organization subpart

No

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

Authorized official

Name

Dixon Wilson

Title

Sole MBR

Phone

(405) 444-7858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1265368229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S FREDERICK AVE APT 319",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208776313",
            "telephone_number": "405-444-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S FREDERICK AVE APT 319",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208776313",
            "telephone_number": "405-444-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DIXON",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "405-444-7858"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.