Organization Active NPI

State Medical Equipment Limited Liability Company

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1366700015
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
STATE MEDICAL EQUIPMENT LIMITED LIABILITY COMPANY
Practice address
3950 E Sunset Rd
Suite 112
Las Vegas, NV 89120-4905
Phone
(702) 538-9555
Fax
(702) 538-8433
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Miss May Flores Cuenca
Title
Owner
Phone
(702) 538-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

3950 E Sunset Rd
Suite 112
Las Vegas, NV 89120-4905

Mailing address

3950 E Sunset Rd
Suite 112
Las Vegas, NV 89120-4905
Phone (702) 538-9555

Other names 1

  • State Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121215000021 NV DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 9133371305 Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
State Medical Equipment Limited Lia3950 E Sunset Rd, Las Vegas, NV 89120-4906(702) 538-9555 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (… Accepts assignmentParticipating since Nov 1, 2012

National Provider Directory

National Provider Directory

Locations

3827 E Sunset Rd
Las Vegas, NV 89120
Phone (702) 474-0268

3950 E Sunset Rd
Ste 112
Las Vegas, NV 89120
Phone (702) 538-9555

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1366700015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 E SUNSET RD",
            "address_2": "SUITE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204905",
            "telephone_number": "702-538-9555",
            "fax_number": "702-538-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E SUNSET RD",
            "address_2": "SUITE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204905",
            "telephone_number": "702-538-9555",
            "fax_number": "702-538-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE MEDICAL EQUIPMENT LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "CUENCA",
        "authorized_official_first_name": "MAY",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-538-9555",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "State Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.