Active NPI
Mountain Medical Supplies, LLC
- Durable Medical Equipment & Medical Supplies
- Lenexa, KS
National Provider Identifier
1437616455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MOUNTAIN MEDICAL SUPPLIES, LLC
- Practice address
- 11765 W 86TH Ter
Lenexa, KS 66214-1534 - Phone
- (913) 894-1064
- Fax
- (833) 663-6322
- NPI assigned
- Feb 26, 2019
- 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
- Mrs. Jana Leigh Morin-Perkins
- Title
- Owner
- Phone
- (913) 894-1064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
11765 W 86TH Ter
Lenexa, KS 66214-1534
Mailing address
9008 W 77TH St
Overland Park, KS 66204-2531
Phone (816) 678-3839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9297946 | Other | KS | PRIVATE INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scott@mountainmedicalsupplies.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190723000396 | KS | DME Supplier - Medical Supply Company | 7416283973 | Practice locations: Lenexa, KS |
National Provider Directory
National Provider DirectoryLocations
11765 W 86th Ter
Overland Park, KS 66214
Phone (913) 894-1064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599609600000",
"number": "1437616455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9008 W 77TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042531",
"telephone_number": "816-678-3839",
"fax_number": "833-663-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11765 W 86TH TER",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141534",
"telephone_number": "913-894-1064",
"fax_number": "833-663-6322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN MEDICAL SUPPLIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-26",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A",
"authorized_official_last_name": "MORIN-PERKINS",
"authorized_official_first_name": "JANA",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-894-1064",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "9297946",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scott@mountainmedicalsupplies.com",
"affiliation": "N",
"address_1": "11765 W 86th Ter",
"city": "Lenexa",
"state": "KS",
"country_code": "US",
"postal_code": "662141534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.