NPIMap

Organization Active NPI

Cardiosom, LLC

  • Oxygen Equipment & Supplies (DME)
  • Charlotte, NC
National Provider Identifier
1316108558
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CARDIOSOM, LLC
Practice address
4109 Stuart Andrew Blvd
Suite J
Charlotte, NC 28217-4621
Phone
(800) 868-1920
Fax
(800) 868-1908
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Kevin Greisl
Title
President Coo
Phone
(800) 868-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

4109 Stuart Andrew Blvd
Suite J
Charlotte, NC 28217-4621

Mailing address

615 W Carmel Dr
Suite 100
Carmel, IN 46032-2996
Phone (800) 868-1920

Other names 1

  • CardioSom of Charlotte Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardiosom LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

4109 Stuart Andrew Blvd
Ste J
Charlotte, NC 28217

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1316108558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CARMEL DR",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322996",
            "telephone_number": "800-868-1920",
            "fax_number": "800-868-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 STUART ANDREW BLVD",
            "address_2": "SUITE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174621",
            "telephone_number": "800-868-1920",
            "fax_number": "800-868-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "GREISL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT COO",
        "authorized_official_telephone_number": "800-868-1920"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.