Betty Elbers

Key facts

NPI

1497832679

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

BETTY ELBERS

Practice address

26625 Tucker Dr
Brandon, SD 57005-7209

Phone

(605) 334-3813

NPI assigned

Nov 1, 2006

Organization subpart

No

Authorized official

Name

Mrs. Betty Elbers

Title

Sole Owner

Phone

(605) 334-3813

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2009.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1497832679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26625 TUCKER DR",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570057209",
            "telephone_number": "605-334-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26625 TUCKER DR",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570057209",
            "telephone_number": "605-334-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY ELBERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "ELBERS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "605-334-3813",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. PROVIDER NUMBER",
            "identifier": "0776750001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI   NUMBER",
            "identifier": "1497832679",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Brandon, SD · Durable Medical Equipment & Medical Supplies in South Dakota