Organization Active NPI

Mountain Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lenexa, KS
National Provider Identifier
1437616455
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 9, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9297946OtherKSPRIVATE INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott@mountainmedicalsupplies.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723000396 KS DME Supplier - Medical Supply Company 7416283973 Practice locations: Lenexa, KS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.