Organization Active NPI

Ivory Durable Medical Equipmemt

  • Customized Equipment (DME)
  • N Little Rock, AR
National Provider Identifier
1639315633
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
IVORY DURABLE MEDICAL EQUIPMEMT
Practice address
201 W Broadway St Ste G19
N Little Rock, AR 72114-5541
Phone
(501) 374-3131
NPI assigned
Dec 21, 2008
Last updated
Dec 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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

Authorized official

Name
Mr. William Ivory
Title
Owner
Phone
(501) 374-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

201 W Broadway St Ste G19
N Little Rock, AR 72114-5541

Mailing address

201 W Broadway St Ste G19
N Little Rock, AR 72114-5541
Phone (501) 374-3131

National Provider Directory

National Provider Directory

Locations

201 W Broadway St
Ste G19
North Little Rock, AR 72114
Phone (501) 374-3131

NPI Registry JSON

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229817600000",
    "number": "1639315633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY ST STE G19",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145541",
            "telephone_number": "501-374-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY ST STE G19",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145541",
            "telephone_number": "501-374-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY DURABLE MEDICAL EQUIPMEMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-374-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.