Organization Active NPI

Wheelchair Doctor

  • Durable Medical Equipment & Medical Supplies
  • Grand JCT, CO
National Provider Identifier
1497885420
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0486814 Issued in CO
Legal business name
WHEELCHAIR DOCTOR
Practice address
639 24 1/2 Rd
Grand JCT, CO 81505-1246
Phone
(970) 242-0874
Fax
(970) 243-1466
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Wesley Neil Page
Title
Owner
Phone
(970) 242-0874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0486814 CO Primary

Addresses

Primary practice location

639 24 1/2 Rd
Grand JCT, CO 81505-1246

Mailing address

639 24 1/2 Rd
Grand JCT, CO 81505-1246
Phone (970) 242-0874

Other identifiers 2

IdentifierTypeStateIssuer
0800598MedicaidCO
08000598MedicaidCO

National Provider Directory

National Provider Directory

Locations

639 24 Rd
Grand JCT, CO 81505
Phone (970) 242-0874

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1497885420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 24 1/2 RD",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815051246",
            "telephone_number": "970-242-0874",
            "fax_number": "970-243-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 24 1/2 RD",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815051246",
            "telephone_number": "970-242-0874",
            "fax_number": "970-243-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELCHAIR DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-242-0874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "0486814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800598",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08000598",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand JCT, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.