NPIMap

Organization Active NPI

Pad Renovations

  • Customized Equipment (DME)
  • Fredericksburg, VA
National Provider Identifier
1376955799
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2705125500 Issued in VA
Legal business name
PAD RENOVATIONS
Practice address
11615 New Bond St
Fredericksburg, VA 22408-1864
Phone
(540) 891-9565
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Mr. Paul A DesiletsNPI 1760635130
Title
Owner
Phone
(540) 891-9565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2705125500 VA Primary

Addresses

Primary practice location

11615 New Bond St
Fredericksburg, VA 22408-1864

Mailing address

11615 New Bond St
Fredericksburg, VA 22408-1864
Phone (540) 891-9565

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": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1376955799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 NEW BOND ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081864",
            "telephone_number": "540-891-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 NEW BOND ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081864",
            "telephone_number": "540-891-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAD RENOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "DESILETS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-891-9565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2705125500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.