Organization Active NPI

Wheelchair Shop, Inc

  • Durable Medical Equipment & Medical Supplies
  • Michigan City, IN
National Provider Identifier
1285908632
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1100085347672 Issued in IN
Legal business name
WHEELCHAIR SHOP, INC
Practice address
3944 Frontage Rd
Michigan City, IN 46360-9264
Phone
(219) 872-5804
Fax
(219) 872-5814
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Mr. David Scott Lewis
Title
President
Phone
(219) 872-5804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1100085347672 IN Primary

Addresses

Primary practice location

3944 Frontage Rd
Michigan City, IN 46360-9264

Mailing address

3944 Frontage Rd
Michigan City, IN 46360-9264
Phone (219) 872-5804

National Provider Directory

National Provider Directory

Locations

3944 N Frontage Rd
Michigan City, IN 46360
Phone (219) 872-5804

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1285908632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 FRONTAGE RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609264",
            "telephone_number": "219-872-5804",
            "fax_number": "219-872-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 FRONTAGE RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609264",
            "telephone_number": "219-872-5804",
            "fax_number": "219-872-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELCHAIR SHOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-872-5804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "1100085347672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.