KMS Medical Surgical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KMS MEDICAL SURGICAL SUPPLY INC

Practice address

1825 Bailey St
Dearborn, MI 48124-2488

Phone

(313) 274-2210

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Stephen Floyd Dent

Title

Operations Manager

Phone

(313) 274-2210

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1538798780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BAILEY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242488",
            "telephone_number": "313-274-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 BAILEY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242488",
            "telephone_number": "313-274-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMS MEDICAL SURGICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "313-274-2210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steve@krasitys.com",
            "affiliation": "Y",
            "endpointDescription": "Stephens Business Email",
            "affiliationName": "Krasity's Medical & surgical Supply Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1825 Bailey St",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481242488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.