Organization Active NPI

Heartland Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Rockford, IL
National Provider Identifier
1326387432
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEARTLAND MEDICAL SUPPLIES
Practice address
115 7TH St Ste 207
Rockford, IL 61104-1224
Phone
(815) 516-7396
NPI assigned
Feb 8, 2013
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Dewayne M TentlerNPI 1124367222
Title
President
Phone
(815) 516-7396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

115 7TH St Ste 207
Rockford, IL 61104-1224

Mailing address

115 7TH St Ste 207
Rockford, IL 61104-1224
Phone (815) 516-7396

National Provider Directory

National Provider Directory

Locations

115 7th St
Ste 207
Rockford, IL 61104
Phone (815) 516-7396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1326387432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 7TH ST STE 207",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041224",
            "telephone_number": "815-516-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 7TH ST STE 207",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041224",
            "telephone_number": "815-516-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "TENTLER",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-516-7396"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.