NPIMap

Organization Active NPI

Ottawa Regional DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Ottawa, IL
National Provider Identifier
1275830515
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OTTAWA REGIONAL DME LLC
Practice address
1601 Mercury CT
Suite 2
Ottawa, IL 61350-9323
Phone
(815) 433-3100
NPI assigned
Feb 23, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dawn Trompeter
Title
Chief Executive Officer
Phone
(815) 431-5458

Specialties & licenses 1

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

Addresses

Primary practice location

1601 Mercury CT
Suite 2
Ottawa, IL 61350-9323

Mailing address

1601 Mercury CT
Suite 2
Ottawa, IL 61350-9323
Phone (815) 433-3100

National Provider Directory

National Provider Directory

Locations

1601 Mercury Ct
Ste 2
Ottawa, IL 61350
Phone (815) 433-3100

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1275830515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MERCURY CT",
            "address_2": "SUITE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509323",
            "telephone_number": "815-433-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MERCURY CT",
            "address_2": "SUITE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509323",
            "telephone_number": "815-433-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA REGIONAL DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "TROMPETER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "815-431-5458"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.