NPIMap

Organization Active NPI

Golden Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dodge City, KS
National Provider Identifier
1265435846
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NOT REQUIRED
Legal business name
GOLDEN MEDICAL, INC.
Practice address
2600 Central Ave
Ste F
Dodge City, KS 67801-6211
Phone
(620) 338-8286
Fax
(620) 338-8287
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Mrs. Jean None Berning
Title
Owner
Phone
(620) 338-8286

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NOT REQUIRED Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NOT REQUIRED
Oxygen Equipment & Supplies (DME) 332BX2000X NOT REQUIRED
Prosthetic/Orthotic Supplier 335E00000X BOC # C17759 KS

Addresses

Primary practice location

2600 Central Ave
Ste F
Dodge City, KS 67801-6211

Mailing address

2600 Central Ave
Ste F
Dodge City, KS 67801-6211
Phone (620) 338-8286

Other identifiers 1

IdentifierTypeStateIssuer
048572OtherKSBLUE CROSS/BLUE SHIELD

Other names 1

  • Golden Medical Doing business as

National Provider Directory

National Provider Directory

Locations

2600 Central Ave
Ste F
Dodge City, KS 67801
Phone (620) 338-8286

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1265435846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CENTRAL AVE",
            "address_2": "STE F",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016211",
            "telephone_number": "620-338-8286",
            "fax_number": "620-338-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CENTRAL AVE",
            "address_2": "STE F",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016211",
            "telephone_number": "620-338-8286",
            "fax_number": "620-338-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "BERNING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-338-8286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "NOT REQUIRED",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": "NOT REQUIRED",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": "NOT REQUIRED",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KS",
            "license": "BOC # C17759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "048572",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.