Active NPI
Choice Medical Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Bellevue, WA
National Provider Identifier
1609821362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CHOICE MEDICAL SUPPLIES, INC.
- Practice address
- 2035 120TH Ave NE
Suite 100
Bellevue, WA 98005-2141 - Phone
- (425) 646-0907
- Fax
- (425) 646-5473
- NPI assigned
- May 23, 2006
- Last updated
- Sep 5, 2008
- Organization subpart
- Yes
- Parent organization
- BYRAM HEALTHCARE CENTERS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard M Smith
- Title
- Chief Executive Officer
- Phone
- (914) 286-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
2035 120TH Ave NE
Suite 100
Bellevue, WA 98005-2141
Mailing address
2035 120TH Ave NE
Suite 100
Bellevue, WA 98005-2141
Phone (425) 646-0907
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3258700 | Medicaid | ID | |
| 9019688 | Medicaid | WA | |
| 9042912 | Medicaid | WA | |
| DME03066F | Medicaid | CA | |
| 0562900 | Medicaid | MT | |
| 9036070 | Medicaid | WA |
National Provider Directory
National Provider Directory- Part of
- Byram Healthcare Ctr in
Locations
2202 E Burnside St
Portland, OR 97214
2035 120th Ave NE
Bellevue, WA 98005
2035 120th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 646-0907
2035 120th Ave NE
Ste 201
Bellevue, WA 98005
1215 E Union St
Seattle, WA 98122
2611 NE 125th St
Ste 130
Seattle, WA 98125
Phone (206) 368-7000
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Everett, WA
- NPI 1609393297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1609821362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 120TH AVE NE",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052141",
"telephone_number": "425-646-0907",
"fax_number": "425-646-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 120TH AVE NE",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052141",
"telephone_number": "425-646-0907",
"fax_number": "425-646-5473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE MEDICAL SUPPLIES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BYRAM HEALTHCARE CENTERS, INC.",
"enumeration_date": "2006-05-23",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "914-286-2000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3258700",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9019688",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9042912",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME03066F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0562900",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9036070",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.