Organization Active NPI

National Biological Corporation

  • Durable Medical Equipment & Medical Supplies
  • Beachwood, OH
National Provider Identifier
1396891495
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NATIONAL BIOLOGICAL CORPORATION
Practice address
23700 Mercantile Rd
Beachwood, OH 44122-5900
Phone
(216) 831-0600
Fax
(216) 765-0271
NPI assigned
Jan 25, 2007
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Haley White
Title
Vice President
Phone
(216) 831-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X 18501214 OH

Addresses

Primary practice location

23700 Mercantile Rd
Beachwood, OH 44122-5900

Mailing address

23700 Mercantile Rd
Beachwood, OH 44122-5900
Phone (216) 831-0600

Other identifiers 4

IdentifierTypeStateIssuer
0015850730002MedicaidPA
100099785MedicaidWI
0731079MedicaidOH
0717673MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930076349 OH DME Supplier - Medical Supply Company 4789701590 Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Locations

23700 Mercantile Rd
Beachwood, OH 44122
Phone (216) 831-0600

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1396891495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 MERCANTILE RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225900",
            "telephone_number": "216-831-0600",
            "fax_number": "216-765-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 MERCANTILE RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225900",
            "telephone_number": "216-831-0600",
            "fax_number": "216-765-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL BIOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-831-0600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "18501214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015850730002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099785",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0731079",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717673",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.