Active NPI
DME Professionals LLC
- Durable Medical Equipment & Medical Supplies
- Taylor, MI
National Provider Identifier
1578829800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DME PROFESSIONALS LLC
- Practice address
- 20600 Eureka Rd
Suite 314
Taylor, MI 48180-5343 - Phone
- (123) 456-7890
- NPI assigned
- Apr 11, 2012
- 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
- Ahtisham Khan
- Title
- Ceo
- Phone
- (123) 456-7890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
20600 Eureka Rd
Suite 314
Taylor, MI 48180-5343
Mailing address
PO Box 2407
Riverview, MI 48193-1407
National Provider Directory
National Provider DirectoryLocations
20600 Eureka Rd
Ste 314
Taylor, MI 48180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1578829800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2407",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20600 EUREKA RD",
"address_2": "SUITE 314",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805343",
"telephone_number": "123-456-7890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DME PROFESSIONALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "AHTISHAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "123-456-7890"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.