Organization Active NPI

Choice Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bellevue, WA
National Provider Identifier
1609821362
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BYRAM HEALTHCARE CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3258700MedicaidID
9019688MedicaidWA
9042912MedicaidWA
DME03066FMedicaidCA
0562900MedicaidMT
9036070MedicaidWA

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.

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.

Verify at the official NPI Registry.