CDM Supply, LLC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

CDM SUPPLY, LLC

Practice address

N50W13740 Overview Dr
Suite B
Menomonee Falls, WI 53051-7062

Phone

(262) 781-7690

Fax

(262) 781-7692

NPI assigned

Jul 1, 2007

Organization subpart

No

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

Authorized official

Name

Dale Alan Runge

Title

Manager

Phone

(262) 781-7690

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1437356508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N50W13740 OVERVIEW DR",
            "address_2": "SUITE B",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517062",
            "telephone_number": "262-781-7690",
            "fax_number": "262-781-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N50W13740 OVERVIEW DR",
            "address_2": "SUITE B",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517062",
            "telephone_number": "262-781-7690",
            "fax_number": "262-781-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDM SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-781-7690"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41569100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Carlson, RN
• Lindsay A Carmody, N.P.
• Kathleen Carranza, DDS
• Debra J Casper, NP
• CD Medical Supply Inc
• Ada Ural Celik, DO
• Daniel Dean Champeau, M.D.
• Lee McKenna Chavannes, RPH
• Lauren Chiavola, PA-C
• Chiropractic Company - Menomonee Falls LTD

• Nursing Facility Supplies (DME) in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Nursing Facility Supplies (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.