Organization Active NPI

Adaptive Mediquip, Inc

  • Durable Medical Equipment & Medical Supplies
  • Washington, MI
National Provider Identifier
1629037692
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADAPTIVE MEDIQUIP, INC
Practice address
64007 Van Dyke Rd
Ste. 2
Washington, MI 48095-2581
Phone
(586) 477-4535
Fax
(586) 477-4578
NPI assigned
Mar 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Michael Frautten
Title
Owner
Phone
(586) 477-4535

National Provider Directory

National Provider Directory

Locations

1601 E Peoria St
#273
Paola, KS 66071

64007 Van Dyke Rd
Ste 2
Washington, MI 48095
Phone (586) 477-4535

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

NPPES NPI Registry

Primary practice location

64007 Van Dyke Rd
Ste. 2
Washington, MI 48095-2581

Mailing address

64007 Van Dyke Rd
Ste. 2
Washington, MI 48095-2581
Phone (586) 477-4535

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2825601MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2013.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1629037692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64007 VAN DYKE RD",
            "address_2": "STE. 2",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952581",
            "telephone_number": "586-477-4535",
            "fax_number": "586-477-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64007 VAN DYKE RD",
            "address_2": "STE. 2",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952581",
            "telephone_number": "586-477-4535",
            "fax_number": "586-477-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE MEDIQUIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "FRAUTTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-477-4535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2825601",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.