Organization Active NPI

KMC Medical Marketing

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1356397731
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
KMC MEDICAL MARKETING
Doing business as
KMC Medical
Practice address
3212 Belgrave Falls LN
Austin, TX 78748-2995
Phone
(512) 736-2185
Fax
(512) 282-7099
NPI assigned
May 26, 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
Mr. Tucker Ulit Tuttle
Title
Owner
Phone
(512) 736-2185

Specialties & licenses 1

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

Addresses

Primary practice location

3212 Belgrave Falls LN
Austin, TX 78748-2995

Mailing address

3212 Belgrave Falls Lane
Austin, TX 78748-2995
Phone (512) 736-2185

Other names 1

  • KMC Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356397731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 BELGRAVE FALLS LANE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482995",
            "telephone_number": "512-736-2185",
            "fax_number": "512-282-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 BELGRAVE FALLS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482995",
            "telephone_number": "512-736-2185",
            "fax_number": "512-282-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMC MEDICAL MARKETING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "TUCKER",
        "authorized_official_middle_name": "ULIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-736-2185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMC Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

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.