DME Access LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

IL 02838 Issued in IL

Legal business name

DME ACCESS LLC

Practice address

9016 58TH PL Ste 400
Kenosha, WI 53144-7814

Phone

(262) 605-1300

Fax

(262) 605-1301

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Paul Creatura

Title

Owner/President

Phone

(630) 892-7400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1386918936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 INDUSTRIAL DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381233",
            "telephone_number": "630-892-7400",
            "fax_number": "630-892-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 58TH PL STE 400",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531447814",
            "telephone_number": "262-605-1300",
            "fax_number": "262-605-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "CREATURA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-892-7400"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "IL 02838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Dimitrijevic
• Jacob R. Dinauer, MED, ATC, EMT
• Holly Jo Dinsmore, M.A. CCC-SLP
• Wendy Diprospero, MS, CCC-SLP
• Vincent Diviero, PT
• DNT Associates Inc
• Gabriella Lucianna Dobinson
• Lacie Elizabeth Dobyns, RDH
• Mackenzie Dodge, APSW
• Tobias Doherty, PHARMD

• Customized Equipment (DME) in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.