Organization Active NPI

Maximum DME Corporation

  • Durable Medical Equipment & Medical Supplies
  • Placentia, CA
National Provider Identifier
1417516204
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAXIMUM DME CORPORATION
Practice address
200 N Bradford Ave Ste J
Placentia, CA 92870-5646
Phone
(800) 762-1511
NPI assigned
Jun 6, 2019
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Edward Huycke
Title
Ceo
Phone
(714) 646-4981

Specialties & licenses 1

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

Addresses

Primary practice location

200 N Bradford Ave Ste J
Placentia, CA 92870-5646

Mailing address

200 N Bradford Ave Ste J
Placentia, CA 92870-5646
Phone (714) 646-4981

National Provider Directory

National Provider Directory

Locations

200 N Bradford Ave
Ste J
Placentia, CA 92870
Phone (800) 762-1511

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1417516204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BRADFORD AVE STE J",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705646",
            "telephone_number": "714-646-4981",
            "fax_number": "800-762-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BRADFORD AVE STE J",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705646",
            "telephone_number": "800-762-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM DME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "HUYCKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-646-4981"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.