Your Cpap Store

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

036102855077304 Issued in WI

Legal business name

YOUR CPAP STORE

Practice address

800 Wisconsin St
BLDG D02 Suite 420B
Eau Claire, WI 54703-3588

Phone

(715) 514-3608

Fax

(715) 514-3609

NPI assigned

Nov 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Todd W Miller

Title

Ceo

Phone

(715) 514-3608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415404800000",
    "number": "1306242912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "address_2": "BANBURY PLACE 800 WISCONSIN ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547020065",
            "telephone_number": "715-514-3608",
            "fax_number": "715-514-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WISCONSIN ST",
            "address_2": "BLDG D02 SUITE 420B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033588",
            "telephone_number": "715-514-3608",
            "fax_number": "715-514-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CPAP STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-514-3608",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "036102855077304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eau Claire, WI
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.