Active NPI
Dependable Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
National Provider Identifier
1568695476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DEPENDABLE MEDICAL EQUIPMENT, INC.
- Practice address
- 6601 220TH St SW
Ste 6
Mountlake Terrace, WA 98043-2166 - Phone
- (425) 563-1050
- Fax
- (425) 563-1051
- NPI assigned
- Aug 25, 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
- Jeffrey Matukewicz
- Title
- Secretary
- Phone
- (423) 756-2268
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
6601 220TH St SW
Ste 6
Mountlake Terrace, WA 98043-2166
Mailing address
5959 Shallowford Road
Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9063108 | Medicaid | WA |
Other names 1
- Dependable Medical Equipment, LLC
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
- NPI 1598599763
Member Of
-
dba Minnesota State Veterans Homes
- Skilled Nursing Facility
- Luverne, MN
- NPI 1568735090
Member Of
Locations
17703 15th Ave NE
Shoreline, WA 98155
Phone (206) 659-4348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1568695476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 SHALLOWFORD ROAD",
"address_2": "STE 443",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212245",
"telephone_number": "423-756-2268",
"fax_number": "423-362-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 220TH ST SW",
"address_2": "STE 6",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432166",
"telephone_number": "425-563-1050",
"fax_number": "425-563-1051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPENDABLE MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MATUKEWICZ",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "423-756-2268"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9063108",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dependable Medical Equipment, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.