NPIMap

Organization Active NPI

Xxtar Associates LLC

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1548985179
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
XXTAR ASSOCIATES LLC
Practice address
18100 Meyers Rd Ste L2
Detroit, MI 48235-1426
Phone
(866) 946-6066
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Mr. Bernard PorterNPI 1063085629
Title
Owner
Phone
(321) 262-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

18100 Meyers Rd Ste L2
Detroit, MI 48235-1426

Mailing address

100 Renaissance Ctr Ste 10140245
Detroit, MI 48243-1114
Phone (321) 262-6700

National Provider Directory

National Provider Directory

Locations

18100 Meyers Rd
Ste L2
Detroit, MI 48235
Phone (866) 946-6066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1548985179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RENAISSANCE CTR STE 10140245",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431114",
            "telephone_number": "321-262-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 MEYERS RD STE L2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351426",
            "telephone_number": "866-946-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XXTAR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-262-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.