Organization Active NPI

John David Rogers

  • Durable Medical Equipment & Medical Supplies
  • Fairmont, WV
National Provider Identifier
1417145889
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOHN DAVID ROGERS
Doing business as
Kinetic Health Care
Practice address
1014 Honeybee Drive
Fairmont, WV 26554
Phone
(304) 363-7424
Fax
(304) 363-9255
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
John Rogers
Title
Owner
Phone
(304) 926-0870

Specialties & licenses 1

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

Addresses

Primary practice location

1014 Honeybee Drive
Fairmont, WV 26554

Mailing address

PO Box 638
Ripley, WV 25271-0638
Phone (304) 363-7424

Other identifiers 3

IdentifierTypeStateIssuer
2803907MedicaidOH
7100027700MedicaidKY
3810010234MedicaidWV

Other names 1

  • Kinetic Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1417145889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710638",
            "telephone_number": "304-363-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HONEYBEE DRIVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-363-7424",
            "fax_number": "304-363-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DAVID ROGERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-926-0870"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2803907",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100027700",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010234",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.