NPIMap

Organization Active NPI

National Seating & Mobility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bryant, AR
National Provider Identifier
1417920067
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
001298 Issued in AR
Legal business name
NATIONAL SEATING & MOBILITY, INC.
Practice address
25608 I-30 North
Bryant, AR 72022-9357
Phone
(501) 568-7688
Fax
(501) 568-6737
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Jeffrey Matukewicz
Title
Secretary
Phone
(423) 756-2268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 001298 AR Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

25608 I-30 North
Bryant, AR 72022-9357

Mailing address

5959 Shallowford Rd
Suite 443
Chattanooga, TN 37241-2245
Phone (423) 756-2268

Other identifiers 2

IdentifierTypeStateIssuer
100794550BMedicaidOK
140980716MedicaidAR

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

25608 Interstate 30 N
Bryant, AR 72022
Phone (501) 374-5672

7123 Interstate 30
Ste 13
Little Rock, AR 72209

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1417920067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD",
            "address_2": "SUITE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "372412245",
            "telephone_number": "423-756-2268",
            "fax_number": "423-266-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25608 I-30 NORTH",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229357",
            "telephone_number": "501-568-7688",
            "fax_number": "501-568-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SEATING & MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "001298",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100794550B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140980716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.