Organization Active NPI

Vital Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, VA
National Provider Identifier
1629420005
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1720526 Issued in VA
Legal business name
VITAL MEDICAL EQUIPMENT
Practice address
6399 Little River Tpke
Ste 201
Alexandria, VA 22312-5093
Phone
(703) 782-9327
Fax
(703) 782-9365
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Kendry Valdez
Title
Owner/Director
Phone
(703) 782-9327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1720526 VA Primary

Addresses

Primary practice location

6399 Little River Tpke
Ste 201
Alexandria, VA 22312-5093

Mailing address

11715 Fairfax Woods Way Apt 9103
Fairfax, VA 22030-8345
Phone (703) 782-9327

Other identifiers 1

IdentifierTypeStateIssuer
1720526MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1629420005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 FAIRFAX WOODS WAY APT 9103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308345",
            "telephone_number": "703-782-9327",
            "fax_number": "703-782-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 LITTLE RIVER TPKE",
            "address_2": "STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125093",
            "telephone_number": "703-782-9327",
            "fax_number": "703-782-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "KENDRY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "703-782-9327"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "1720526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720526",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.