Northwest Respiratory Services, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

NORTHWEST RESPIRATORY SERVICES, LLC

Practice address

1243 Eagan Industrial Rd
Eagan, MN 55121-1232

Phone

(651) 603-8720

Fax

(866) 296-7913

NPI assigned

Dec 28, 2005

Last updated

Nov 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris J Larson

Title

Coo

Phone

(651) 603-8720

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Northwest Respiratory Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Northwest Respiratory Services, LLC

  • Oxygen Equipment & Supplies (DME)
  • Colorado Springs, CO
  • NPI 1063229011
  NPD tax ID
• Northwest Respiratory Services, LLC

  • Oxygen Equipment & Supplies (DME)
  • Pueblo, CO
  • NPI 1144902867
  NPD tax ID
• Northwest Respiratory Services, LLC

  • Oxygen Equipment & Supplies (DME)
  • Grand Junction, CO
  • NPI 1275215238
  NPD tax ID
• Northwest Respiratory Services, LLC

  • Oxygen Equipment & Supplies (DME)
  • Thornton, CO
  • NPI 1609558667
  NPD tax ID

Locations

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1326025669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 EAGAN INDUSTRIAL RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211232",
            "telephone_number": "651-603-8720",
            "fax_number": "866-296-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 EAGAN INDUSTRIAL RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211232",
            "telephone_number": "651-603-8720",
            "fax_number": "866-296-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RESPIRATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "651-603-8720"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41611800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025028700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234328",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861819400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51394",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9166883",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinn Graelyn Normandeau
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• Northland Dental Partners, PLLC (Metro Dentalcare Eagan)
• Northmark Medical LLC (Northmark Medical)
• Northrise Counseling and Therapy
• Nova ABA Clinic LLC
• Now Care Dental PC
• Now Care Medical Centers
• Jason Eric Nowak, MD
• Daniel Eduardo Nucete, PHYSICIAN ASSISTANT

• Oxygen Equipment & Supplies (DME) in Eagan, MN
• Providers in Eagan, MN by specialty
• Oxygen Equipment & Supplies (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.