Active NPI
Metro DME LLC
- Durable Medical Equipment & Medical Supplies
- Plymouth, MN
National Provider Identifier
1417776873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.