Organization Active NPI

Empi Inc

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
National Provider Identifier
1568623288
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
010 78762 3 Issued in SC
Legal business name
EMPI INC
Practice address
2891 Tricom St
Suite D
North Charleston, SC 29406-7110
Phone
(843) 764-3600
Fax
(843) 764-3016
NPI assigned
Jun 25, 2008
Organization subpart
Yes
Parent organization
EMPI INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dale Hammer
Title
Vice President, Corporate Complianc
Phone
(760) 734-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 010 78762 3 SC Primary

Addresses

Primary practice location

2891 Tricom St
Suite D
North Charleston, SC 29406-7110

Mailing address

1430 Decision St
Vista, CA 92081-8553
Phone (760) 734-4742

National Provider Directory

National Provider Directory
Tax ID family
Empi Inc Az2 organizations share this tax ID, including this one
Part of
Empi Inc Az

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2891 Tricom St
Ste D
North Charleston, SC 29406
Phone (843) 764-3600

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1568623288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 DECISION ST",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818553",
            "telephone_number": "760-734-4742",
            "fax_number": "800-419-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 TRICOM ST",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067110",
            "telephone_number": "843-764-3600",
            "fax_number": "843-764-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPI INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPI INC",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE COMPLIANC",
        "authorized_official_telephone_number": "760-734-4742"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "010 78762 3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.