Organization Active NPI

Advanced Therapy Surfaces, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Maplewood, MN
National Provider Identifier
1366435505
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED THERAPY SURFACES, INC.
Practice address
2495 Maplewood Dr
Suite 314
Maplewood, MN 55109-1913
Phone
(651) 762-1717
Fax
(651) 762-8549
NPI assigned
Aug 23, 2005
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Ms. Carol Lynn Anderson, RN, MSN
Title
President
Phone
(651) 762-1717

Specialties & licenses 1

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

Addresses

Primary practice location

2495 Maplewood Dr
Suite 314
Maplewood, MN 55109-1913

Mailing address

2495 Maplewood Dr
Suite 314
Maplewood, MN 55109-1913
Phone (651) 762-1717

National Provider Directory

National Provider Directory

Locations

2495 Maplewood Dr N
Ste 314
Maplewood, MN 55109
Phone (651) 762-1717

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1366435505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR",
            "address_2": "SUITE 314",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091913",
            "telephone_number": "651-762-1717",
            "fax_number": "651-762-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR",
            "address_2": "SUITE 314",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091913",
            "telephone_number": "651-762-1717",
            "fax_number": "651-762-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY SURFACES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-762-1717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.