Dove Medical Supply Retail LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOVE MEDICAL SUPPLY RETAIL LLC

Practice address

2669 Lewisville Clemmons Rd
Clemmons, NC 27012-8714

Phone

(336) 448-0086

Fax

(336) 419-0160

NPI assigned

Nov 27, 2018

Last updated

Oct 31, 2024By 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

Mrs. Rebekah Spease

Title

Compliance Officer

Phone

(336) 448-0086

Specialties & licenses 1

Addresses

Other names 1

• Dove Medical Supply Retail LLC Other name

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1508336058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 LEWISVILLE CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128714",
            "telephone_number": "336-448-0086",
            "fax_number": "336-419-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 LEWISVILLE CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128714",
            "telephone_number": "336-448-0086",
            "fax_number": "336-419-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE MEDICAL SUPPLY RETAIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "SPEASE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "336-448-0086",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Medical Supply Retail LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Dey, PHARMD
• Rhonda Wallace Dixon, WHNP
• Jeremy Dockery, CADC, SAP, ICAADC,
• Terry Ann Donovan, DPM
• Jodi M Douthit
• Elisabeth Dowlen
• Brian William Downs, MD
• Rose Kordich Doyle, CRNA
• Stephanie Caudle Draker, NP-C
• Brett Terill Duffey Sr., OT L

• Durable Medical Equipment & Medical Supplies in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.