Organization Active NPI

Downriver Medical Suppies Inc

Doing business as Dearborn Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Riverview, MI
National Provider Identifier
1538354550
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DOWNRIVER MEDICAL SUPPIES INC
Doing business as
Dearborn Medical Supplies
Practice address
18025 Fort St Ste C
Riverview, MI 48193-7432
Phone
(734) 225-7171
Fax
(734) 225-7178
NPI assigned
Sep 12, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Timothy Dunatchik
Title
Presient
Phone
(734) 225-7171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

18025 Fort St Ste C
Riverview, MI 48193-7432

Mailing address

18025 Fort St Ste C
Riverview, MI 48193-7432
Phone (734) 225-7171

Other identifiers 2

IdentifierTypeStateIssuer
5267569MedicaidMI
540H225670OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • DEARBORN MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

13252 Michigan Ave
Dearborn, MI 48126
Phone (313) 624-8000

20270 Middlebelt Rd
Ste C
Livonia, MI 48152

18025 Fort St
Ste C
Riverview, MI 48193
Phone (734) 225-7171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538354550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 FORT ST STE C",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937432",
            "telephone_number": "734-225-7171",
            "fax_number": "734-225-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18025 FORT ST STE C",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937432",
            "telephone_number": "734-225-7171",
            "fax_number": "734-225-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER MEDICAL SUPPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUNATCHIK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIENT",
        "authorized_official_telephone_number": "734-225-7171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5267569",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540H225670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEARBORN MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEARBORN MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.