Organization Active NPI

NTS DME

  • Durable Medical Equipment & Medical Supplies
  • Costa Mesa, CA
National Provider Identifier
1366713174
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
56571 Issued in CA
Legal business name
NTS DME
Practice address
2506 Back Bay Loop
Costa Mesa, CA 92627-5413
Phone
(800) 992-7846
Fax
(888) 992-7846
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Thomas Newton Newman
Title
President
Phone
(949) 500-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 56571 CA Primary

Addresses

Primary practice location

2506 Back Bay Loop
Costa Mesa, CA 92627-5413

Mailing address

2506 Back Bay Loop
Costa Mesa, CA 92627-5413
Phone (800) 992-7846

Other identifiers 1

IdentifierTypeStateIssuer
22426OtherCARETAIL EXEMPTEE LICENSE

Other names 1

  • SOUTH COAST 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": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1366713174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 BACK BAY LOOP",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275413",
            "telephone_number": "800-992-7846",
            "fax_number": "888-479-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 BACK BAY LOOP",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275413",
            "telephone_number": "800-992-7846",
            "fax_number": "888-992-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTS DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-500-7622"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "56571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL EXEMPTEE LICENSE",
            "identifier": "22426",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH COAST MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.