Active NPI
Adaptive Mediquip, Inc
- Durable Medical Equipment & Medical Supplies
- Washington, MI
National Provider Identifier
1629037692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2825601 | Medicaid | MI |
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.