Organization Active NPI

Datin Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Brandon, MS
National Provider Identifier
1306245618
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DATIN MEDICAL SUPPLY
Practice address
2151 Highway 18 Ste E
Brandon, MS 39042-2492
Phone
(601) 724-4456
NPI assigned
Aug 22, 2014
Last updated
Aug 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Brendan Sartin
Title
Owner
Phone
(601) 573-3501

Specialties & licenses 1

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

Addresses

Primary practice location

2151 Highway 18 Ste E
Brandon, MS 39042-2492

Mailing address

2151 Highway 18 Ste E
Brandon, MS 39042-2492

National Provider Directory

National Provider Directory

Locations

200 E Government St
Ste 300
Brandon, MS 39042
Phone (601) 724-4456

2151 Highway 18
Ste E
Brandon, MS 39042
Phone (601) 724-4456

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1306245618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HIGHWAY 18 STE E",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HIGHWAY 18 STE E",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422492",
            "telephone_number": "601-724-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATIN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "SARTIN",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-573-3501"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.