NPIMap

Organization Active NPI

Sunrise Medical Suplly

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1306865597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUNRISE MEDICAL SUPLLY
Practice address
13041 N 35TH Ave
Suite C-5
Phoenix, AZ 85029-1230
Phone
(602) 866-1512
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Akomu Omijie
Title
Managing Director
Phone
(602) 866-1512

Specialties & licenses 1

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

Addresses

Primary practice location

13041 N 35TH Ave
Suite C-5
Phoenix, AZ 85029-1230

Mailing address

13041 N 35TH Ave
Suite C-5
Phoenix, AZ 85029-1230
Phone (602) 866-1512

National Provider Directory

National Provider Directory
Tax ID family
Eagle Ventures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13041 N 35th Ave
Ste C5
Phoenix, AZ 85029
Phone (602) 866-1512

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306865597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 N 35TH AVE",
            "address_2": "SUITE C-5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291230",
            "telephone_number": "602-866-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13041 N 35TH AVE",
            "address_2": "SUITE C-5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291230",
            "telephone_number": "602-866-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL SUPLLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMIJIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AKOMU",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "602-866-1512"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.