Shinamerica – Dialysis Equipment & Supplies (DME)

Key facts

NPI: 1659503233
Entity type: Organization (NPI type 2)
Primary specialty: Dialysis Equipment & Supplies (DME) 332BD1200X
Legal business name: SHINAMERICA
Practice address: 710 4TH Street
De Smet, SD 57231
Phone: (605) 854-3434
Fax: (605) 854-9234
NPI assigned: Aug 17, 2009
Organization subpart: No

Authorized official

Name: Mr. Tom Erickson
Title: Ceo
Phone: (651) 291-7909

National Provider Directory

Locations

710 4th St SE
De Smet, SD 57231
Phone (605) 854-3434

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dialysis Equipment & Supplies (DME)	332BD1200X			Yes

Addresses

Primary practice location

710 4TH Street
De Smet, SD 57231

Mailing address

PO Box 476
710 4TH Street
De Smet, SD 57231
Phone (605) 854-3434

Other names

Ulti Med Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 17, 2009.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1659503233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "address_2": "710 4TH STREET",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "57231",
            "telephone_number": "605-854-3434",
            "fax_number": "605-854-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 4TH STREET",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "57231",
            "telephone_number": "605-854-3434",
            "fax_number": "605-854-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINAMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-291-7909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ulti Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Smet, SD

All providers in De Smet, SD · Dialysis Equipment & Supplies (DME) in South Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.