Organization Active NPI

Senior Medical Supplies, Inc.

  • Prosthetic/Orthotic Supplier
  • Orange City, FL
National Provider Identifier
1316318165
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SENIOR MEDICAL SUPPLIES, INC.
Doing business as
SMS Orthotics & Prosthetics
Practice address
2751 Enterprise Rd
Ste 113
Orange City, FL 32763-8256
Phone
(888) 536-7516
Fax
(888) 536-7517
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Maria C. Carvajal
Title
Chief Operating Officer
Phone
(407) 936-3360

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2751 Enterprise Rd
Ste 113
Orange City, FL 32763-8256

Mailing address

2751 Enterprise Rd
Ste 113
Orange City, FL 32763-8256
Phone (888) 536-7516

Other names 1

  • SMS Orthotics & Prosthetics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Senior Medical Supplies Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1316318165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ENTERPRISE RD",
            "address_2": "STE 113",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638256",
            "telephone_number": "888-536-7516",
            "fax_number": "888-536-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ENTERPRISE RD",
            "address_2": "STE 113",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638256",
            "telephone_number": "888-536-7516",
            "fax_number": "888-536-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "407-936-3360"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMS Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.