Organization Active NPI

Summit Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Riverton, UT
National Provider Identifier
1477429082
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUMMIT MEDICAL SUPPLY LLC
Practice address
1272 W 12700 S Ste B
Riverton, UT 84065-1644
Phone
(888) 123-4567
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Talmadge Cline
Title
Partner
Phone
(888) 123-4567

Specialties & licenses 1

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

Addresses

Primary practice location

1272 W 12700 S Ste B
Riverton, UT 84065-1644

Mailing address

1272 W 12700 S Ste B
Riverton, UT 84065-1644
Phone (888) 123-4567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319003860 UT DME Supplier - Medical Supply Company 6204310964 Practice locations: Riverton, UT

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
Summit Medical Supply LLC1272 W 12700 S, Riverton, UT 84065-1644(888) 436-1128 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Orthoses: Off-The-Shelf|Surgical Dressings Does not accept assignmentParticipating since Jan 6, 2026

National Provider Directory

National Provider Directory

Locations

1272 W 12700 S
Ste B
Riverton, UT 84065
Phone (888) 436-1128

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1477429082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W 12700 S STE B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840651644",
            "telephone_number": "888-123-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W 12700 S STE B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840651644",
            "telephone_number": "888-123-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "TALMADGE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "888-123-4567"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.