Organization Active NPI

Peaks and Plains Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Spokane Valley, WA
National Provider Identifier
1487608949
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEAKS AND PLAINS MEDICAL, INC.
Practice address
13524 E Sprague Ave Ste 2
Spokane Valley, WA 99216-0888
Phone
(509) 927-0991
Fax
(866) 583-9296
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Dan Afrasiabi
Title
President/Authorized Official
Phone
(888) 441-1312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

13524 E Sprague Ave Ste 2
Spokane Valley, WA 99216-0888

Mailing address

PO Box 94347
Seattle, WA 98124-6647
Phone (509) 588-7241

Other identifiers 1

IdentifierTypeStateIssuer
1011466MedicaidWA

Other names 1

  • MyMedSupplies Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

501 W Intl Airport Rd
Ste 1A
Anchorage, AK 99518
Phone (907) 565-6100

13524 E Sprague Ave
Ste 2
Spokane Valley, WA 99216
Phone (509) 927-0991

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1487608949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94347",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246647",
            "telephone_number": "509-588-7241",
            "fax_number": "866-583-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13524 E SPRAGUE AVE STE 2",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160888",
            "telephone_number": "509-927-0991",
            "fax_number": "866-583-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKS AND PLAINS MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "AFRASIABI",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "888-441-1312"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011466",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMedSupplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.