Active NPI
All State Medical Equipment & Supplies Inc
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
National Provider Identifier
1548403140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 02173R
- Legal business name
- ALL STATE MEDICAL EQUIPMENT & SUPPLIES INC
- Practice address
- 4700 Greenfield Rd Ste DME
Dearborn, MI 48126-4124 - Phone
- (313) 583-3933
- Fax
- (313) 583-3934
- NPI assigned
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rashad Khan
- Title
- General Manager
- Phone
- (313) 583-3933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02173R | MI | Primary |
Addresses
Primary practice location
4700 Greenfield Rd Ste DME
Dearborn, MI 48126-4124
Mailing address
4700 Greenfield Rd Ste DME
Dearborn, MI 48126-4124
Phone (313) 583-3933
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548403140 FAO | Medicaid | MI | |
| 540E009590 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
National Provider Directory
National Provider DirectoryLocations
4700 Greenfield Rd
Ste Dme
Dearborn, MI 48126
Phone (313) 583-3933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1548403140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 GREENFIELD RD STE DME",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264124",
"telephone_number": "313-583-3933",
"fax_number": "313-583-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 GREENFIELD RD STE DME",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264124",
"telephone_number": "313-583-3933",
"fax_number": "313-583-3934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL STATE MEDICAL EQUIPMENT & SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-13",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "RASHAD",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "313-583-3933"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "02173R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548403140 FAO",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "540E009590",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.