Active Sales & Services Medical Equipment Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ACTIVE SALES & SERVICES MEDICAL EQUIPMENT CENTER

Practice address

3817 N Oakland Ave
Milwaukee, WI 53211-2240

Phone

(414) 906-1560

Fax

(414) 906-1566

NPI assigned

Feb 23, 2007

Last updated

Jun 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leonid Sheynbuk

Title

Partner

Phone

(414) 906-1560

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1487780789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 N OAKLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112240",
            "telephone_number": "414-906-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 N OAKLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112240",
            "telephone_number": "414-906-1560",
            "fax_number": "414-906-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SALES & SERVICES MEDICAL EQUIPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "SHEYNBUK",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-906-1560"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41720400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.