NPIMap

Organization Active NPI

Scooter Store - Mobile LLC

Doing business as The SCOOTER Store/Alliance Seating & Mobility

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
National Provider Identifier
1396766234
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCOOTER STORE - MOBILE LLC
Doing business as
The SCOOTER Store/Alliance Seating & Mobility
Practice address
2810 Horace Shepard Dr.
Dothan, AL 36303-1007
Phone
(334) 984-0168
Fax
(877) 230-5010
NPI assigned
Jul 23, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Jason Cone
Title
General Counsel & Secretary
Phone
(830) 627-4433

Specialties & licenses 1

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

Addresses

Primary practice location

2810 Horace Shepard Dr.
Dothan, AL 36303-1007

Mailing address

P.O. Box 310709
New Braunfels, TX 78131-0709
Phone (830) 626-4013

Other identifiers 3

IdentifierTypeStateIssuer
002754100MedicaidFL
1396766234MedicaidAL
383886973AMedicaidGA

Other names 1

  • The SCOOTER Store/Alliance Seating & Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

2814 Horace Shepard Dr
Dothan, AL 36303
Phone (334) 984-0168

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1396766234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 310709",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310709",
            "telephone_number": "830-626-4013",
            "fax_number": "800-688-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 HORACE SHEPARD DR.",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031007",
            "telephone_number": "334-984-0168",
            "fax_number": "877-230-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER STORE - MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "830-627-4433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002754100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396766234",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383886973A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The SCOOTER Store/Alliance Seating & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.