Organization Active NPI

DTS Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Waltham, MA
National Provider Identifier
1386269488
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DTS MEDICAL SUPPLIES LLC
Practice address
186 Charles St Unit 5
Waltham, MA 02453-4263
Phone
(978) 552-9171
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Anne O Mulo
Title
Authorized Official
Phone
(978) 552-9171

Specialties & licenses 1

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

Addresses

Primary practice location

186 Charles St Unit 5
Waltham, MA 02453-4263

Mailing address

186 Charles St Unit 5
Waltham, MA 02453-4263
Phone (978) 552-9171

Other identifiers 1

IdentifierTypeStateIssuer
1721203776OtherMASTATE CORP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1386269488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CHARLES ST UNIT 5",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534263",
            "telephone_number": "978-552-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CHARLES ST UNIT 5",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534263",
            "telephone_number": "978-552-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTS MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "MULO",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "978-552-9171"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORP",
            "identifier": "1721203776",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.