Organization Active NPI

Vital Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
National Provider Identifier
1366703217
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITAL MEDICAL SUPPLIES INC.
Practice address
15340 Jog Road
Suite 100
Delray Beach, FLORIDA 33486
UM
Phone
(561) 865-2382
Fax
(888) 519-4236
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Mr. Daniel Benson
Title
Ceo, Official
Phone
(561) 865-2382

Specialties & licenses 1

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

Addresses

Primary practice location

15340 Jog Road
Suite 100
Delray Beach, FLORIDA 33486
UM

Mailing address

15340 Jog Rd
Suite 100
Delray Beach, FL 33446-2170
Phone (561) 865-2382

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1366703217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 JOG RD",
            "address_2": "SUITE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462170",
            "telephone_number": "561-865-2382",
            "fax_number": "888-519-4236"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "15340 JOG ROAD",
            "address_2": "SUITE 100",
            "city": "DELRAY BEACH",
            "state": "FLORIDA",
            "postal_code": "33486",
            "telephone_number": "561-865-2382",
            "fax_number": "888-519-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO, OFFICIAL",
        "authorized_official_telephone_number": "561-865-2382",
        "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": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.