Organization Active NPI

K & K Investments Inc

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1457972010
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
K & K INVESTMENTS INC
Practice address
5540 E Broadway Rd Ste 8
Mesa, AZ 85206-1440
Phone
(480) 830-0702
Fax
(602) 955-6620
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Colene Gammons
Title
President
Phone
(602) 254-6541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5540 E Broadway Rd Ste 8
Mesa, AZ 85206-1440

Mailing address

3031 E Indian School Rd Ste 11
Phoenix, AZ 85016-6848

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL clgxxx@aol.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200925001354 AZ DME Supplier - Optician 6709159098 Practice locations: Mesa, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Arizona Optical Dispensers5540 E Broadway Rd, Mesa, AZ 85206-1440(480) 830-0702 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since May 25, 2017

National Provider Directory

National Provider Directory
Tax ID family
Arizona Optical Disp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5540 E Broadway Rd
Ste 8
Mesa, AZ 85206
Phone (480) 830-0702

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1457972010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 E INDIAN SCHOOL RD STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 E BROADWAY RD STE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061440",
            "telephone_number": "480-830-0702",
            "fax_number": "602-955-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "GAMMONS",
        "authorized_official_first_name": "COLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-254-6541"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "clgxxx@aol.com",
            "affiliation": "N",
            "address_1": "5540 E Broadway Rd Ste 8",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852061440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.