Organization Active NPI

Miami Valley Medical Equipment Inc

  • Customized Equipment (DME)
  • Dayton, OH
National Provider Identifier
1386652519
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
57177715 Issued in OH
Legal business name
MIAMI VALLEY MEDICAL EQUIPMENT INC
Practice address
5120 Brandt Pike
Dayton, OH 45424
Phone
(937) 233-3225
Fax
(937) 233-3577
NPI assigned
Aug 3, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mr. Rick A Weddle, BS CRTS ATS
Title
Owner President
Phone
(937) 233-3225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 57177715 OH Primary

Addresses

Primary practice location

5120 Brandt Pike
Dayton, OH 45424

Mailing address

5120 Brandt Pike
Dayton, OH 45424
Phone (937) 233-3225

Other identifiers 1

IdentifierTypeStateIssuer
0621483MedicaidOH

National Provider Directory

National Provider Directory

Locations

5120 Brandt Pike
Dayton, OH 45424
Phone (937) 233-3225

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1386652519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 BRANDT PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-233-3225",
            "fax_number": "937-233-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 BRANDT PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-233-3225",
            "fax_number": "937-233-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "WEDDLE",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "937-233-3225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS CRTS ATS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "57177715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0621483",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.