Organization Active NPI

Metro DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, MN
National Provider Identifier
1417776873
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
METRO DME LLC
Practice address
12755 Highway 55 Ste R150
Plymouth, MN 55441-4624
Phone
(612) 474-1727
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Jonathon Sondergaard
Title
Owner
Phone
(612) 474-1727

Specialties & licenses 1

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

Addresses

Primary practice location

12755 Highway 55 Ste R150
Plymouth, MN 55441-4624

Mailing address

PO Box 46104
Plymouth, MN 55446-0104
Phone (612) 741-7241

National Provider Directory

National Provider Directory

Locations

12755 Highway 55
Ste R150
Plymouth, MN 55441
Phone (612) 474-1727

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1417776873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46104",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554460104",
            "telephone_number": "612-741-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 HIGHWAY 55 STE R150",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414624",
            "telephone_number": "612-474-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "SONDERGAARD",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-474-1727"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.