Organization Active NPI

Bennett Medical Services

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1609929348
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
C-0165268 Issued in NV
Legal business name
BENNETT MEDICAL SERVICES
Practice address
4135 N Rancho Dr Ste 130
Las Vegas, NV 89130-3494
Phone
(702) 382-4940
Fax
(702) 382-8608
NPI assigned
Jan 18, 2007
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Stephen Griggs
Title
Ceo
Phone
(407) 206-0040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X C-0165268 NV
Oxygen Equipment & Supplies (DME) 332BX2000X C-0165268 NV Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

4135 N Rancho Dr Ste 130
Las Vegas, NV 89130-3494

Mailing address

220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437

Other identifiers 1

IdentifierTypeStateIssuer
003316778MedicaidNV

National Provider Directory

National Provider Directory

Locations

4135 N Rancho Dr
Ste 130
Las Vegas, NV 89130
Phone (702) 368-4477

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1609929348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 N RANCHO DR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303494",
            "telephone_number": "702-382-4940",
            "fax_number": "702-382-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "C-0165268",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "C-0165268",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003316778",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.