Organization Active NPI

Top Form Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, NC
National Provider Identifier
1598750010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOP FORM INC.
Practice address
1731 Dawson St
Wilmington, NC 28403-2326
Phone
(910) 392-5806
Fax
(910) 452-2913
NPI assigned
Sep 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Martin Gallan
Title
Ceo
Phone
(910) 392-5806

Specialties & licenses 1

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

Addresses

Primary practice location

1731 Dawson St
Wilmington, NC 28403-2326

Mailing address

PO Box 1594
Wilmington, NC 28402-1594
Phone (910) 392-5806

National Provider Directory

National Provider Directory
Tax ID family
Top Form Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1731 Dawson St
Wilmington, NC 28403
Phone (910) 392-5806

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598750010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1594",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284021594",
            "telephone_number": "910-392-5806",
            "fax_number": "910-452-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 DAWSON ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032326",
            "telephone_number": "910-392-5806",
            "fax_number": "910-452-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP FORM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-392-5806",
        "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 Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.