Organization Active NPI

Masters Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Brighton, MI
National Provider Identifier
1407837636
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MASTERS MEDICAL SUPPLY
Practice address
6480 Grand River Rd
Brighton, MI 48114-7305
Phone
(517) 548-3800
Fax
(517) 548-3808
NPI assigned
Nov 5, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Hollie Heikkinen
Title
President
Phone
(517) 548-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ME-0155030 MI
Durable Medical Equipment & Medical Supplies 332B00000X MI Primary

Addresses

Primary practice location

6480 Grand River Rd
Brighton, MI 48114-7305

Mailing address

6480 Grand River Rd
Brighton, MI 48114-7305
Phone (517) 548-3800

Other identifiers 2

IdentifierTypeStateIssuer
540D703090OtherMIBCBS
4365823MedicaidMI

National Provider Directory

National Provider Directory

Locations

6480 Grand River Rd
Brighton, MI 48114
Phone (517) 548-3800

110 N Michigan Ave
Howell, MI 48843
Phone (517) 548-3800

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407837636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147305",
            "telephone_number": "517-548-3800",
            "fax_number": "517-548-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147305",
            "telephone_number": "517-548-3800",
            "fax_number": "517-548-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEIKKINEN",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-548-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "ME-0155030",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540D703090",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4365823",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.