Eric Allen

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ERIC ALLEN

Practice address

27252 Regal CT
Sioux Falls, SD 57108-8364

Phone

(605) 366-9222

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Eric Allen Breidenbach

Title

Owner

Phone

(605) 366-9222

Specialties & licenses 1

Addresses

Other names 1

• SAGE Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1407438757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27252 REGAL CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27252 REGAL CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088364",
            "telephone_number": "605-366-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC ALLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "BREIDENBACH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-366-9222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAGE Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAGE Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Ann Ensz
• Envive, P.C.
• Pamela M Ephgrave, MD
• Rachel Erdman
• Denise Erger, LN
• Alexandra Erickson, DPT
• Amanda Erickson, RBT
• Andrew Chris Erickson, DO
• Bethany Marie Erickson, MD
• Jana Marie Erickson, PHARMD

• All providers in Sioux Falls, SD
• Durable Medical Equipment & Medical Supplies in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.