Central States Medical Distributors LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CENTRAL STATES MEDICAL DISTRIBUTORS LLC

Practice address

9006 NE 80TH St
Kansas City, MO 64158-7604

Phone

(816) 616-3535

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Bridget Mussorici

Title

President

Phone

(816) 616-3535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1376082156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 NE 80TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641587604",
            "telephone_number": "816-616-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 NE 80TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641587604",
            "telephone_number": "816-616-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATES MEDICAL DISTRIBUTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "MUSSORICI",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-616-3535"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.