Organization Active NPI

All State Medical Equipment & Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
National Provider Identifier
1548403140
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
02173R Issued in MI
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

Updated by the provider on Apr 11, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1548403140 FAOMedicaidMI
540E009590OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.