Active NPI
Anderson's Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Matteson, IL
National Provider Identifier
1275307969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ANDERSON'S DURABLE MEDICAL EQUIPMENT
- Practice address
- 4749 Lincoln Mall Dr Ste 202B
Matteson, IL 60443-2348 - Phone
- (708) 546-5000
- NPI assigned
- Nov 13, 2023
- Last updated
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aries L Thomas
- Title
- Owner
- Phone
- (708) 546-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
4749 Lincoln Mall Dr Ste 202B
Matteson, IL 60443-2348
Mailing address
14747 Montgomery Dr
Orland Park, IL 60462-3273
National Provider Directory
National Provider DirectoryLocations
4749 Lincoln Mall Dr
Ste 202B
Matteson, IL 60443
Phone (708) 546-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Personal Care Attendant
- Frankfort, IL
- NPI 1649866195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1275307969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14747 MONTGOMERY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4749 LINCOLN MALL DR STE 202B",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432348",
"telephone_number": "708-546-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON'S DURABLE MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ARIES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-546-0000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.