MD Mart, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MD MART, INC

Practice address

1630 Oakland Rd
Ste A108
San Jose, CA 95131-2449

Phone

(408) 960-5409

Fax

(408) 453-6461

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Coates

Title

Owner/Vice President

Phone

(408) 960-5409

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1497786446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD",
            "address_2": "STE A108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312449",
            "telephone_number": "408-453-6468",
            "fax_number": "408-453-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND RD",
            "address_2": "STE A108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312449",
            "telephone_number": "408-960-5409",
            "fax_number": "408-453-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MART, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "408-960-5409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03435F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine McNulty
• Kathleen Ann McQuaid, LMFT
• MCR Care Inc.
• Brianne Shea McWilliams, DPT
• Trinity McWilliams
• MD'S Homecare Professionals, Inc.
• MD24 SJ, Inc.
• Mdinr, LLC
• Mdstx Med Spa PC
• Rowan Marie Mead, B.S.

• Durable Medical Equipment & Medical Supplies in San Jose, CA
• Providers in San Jose, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.