Organization Active NPI

Southwest DME, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Gold Canyon, AZ
National Provider Identifier
1467072561
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHWEST DME, LLC.
Practice address
6877 S Kings Ranch Rd Ste 8
Gold Canyon, AZ 85118-6809
Phone
(480) 567-9764
NPI assigned
Apr 20, 2020
Last updated
Dec 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Mr. Robert Shemin
Title
Owner
Phone
(480) 567-9764

Specialties & licenses 1

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

Addresses

Primary practice location

6877 S Kings Ranch Rd Ste 8
Gold Canyon, AZ 85118-6809

Mailing address

6877 S Kings Ranch Rd Ste 8
Gold Canyon, AZ 85118-6809
Phone (480) 567-9764

National Provider Directory

National Provider Directory

Locations

6877 S Kings Ranch Rd
Ste 8
Gold Canyon, AZ 85118
Phone (480) 567-9764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1467072561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6877 S KINGS RANCH RD STE 8",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851186809",
            "telephone_number": "480-567-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6877 S KINGS RANCH RD STE 8",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851186809",
            "telephone_number": "480-567-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DME, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "SHEMIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-567-9764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.