Organization Active NPI

Genesis DME, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oak Hill, WV
National Provider Identifier
1285865410
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENESIS DME, LLC
Practice address
121 Main St W
Oak Hill, WV 25901-2943
Phone
(866) 211-4817
NPI assigned
Aug 5, 2009
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Ryan Hodge
Title
Member
Phone
(316) 269-1414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

121 Main St W
Oak Hill, WV 25901-2943

Mailing address

135 N Main St
Wichita, KS 67202-1400
Phone (316) 269-1414

National Provider Directory

National Provider Directory

Locations

135 N Main St
Wichita, KS 67202
Phone (866) 997-3425

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1285865410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021400",
            "telephone_number": "316-269-1414",
            "fax_number": "316-263-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012943",
            "telephone_number": "866-211-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-269-1414"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.