Active NPI
Superior Medical Supplies, LLC
- Durable Medical Equipment & Medical Supplies
- Cape Girardeau, MO
National Provider Identifier
1669963187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SUPERIOR MEDICAL SUPPLIES, LLC
- Practice address
- 1021 Kingsway Dr
Cape Girardeau, MO 63701-3601 - Phone
- (573) 837-4017
- NPI assigned
- May 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Callis
- Title
- President
- Phone
- (314) 401-4993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1021 Kingsway Dr
Cape Girardeau, MO 63701-3601
Mailing address
1021 Kingsway Dr
Cape Girardeau, MO 63701-3601
Phone (573) 837-4017
National Provider Directory
National Provider DirectoryLocations
1021 Kingsway Dr
Cape Girardeau, MO 63701
Phone (573) 837-4017
2811 Wintergreen Rd
Ste B
Cape Girardeau, MO 63701
1021 Kingsway Dr
Ste 11D
Cape Girardeau, MO 63701
Phone (877) 761-1204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1669963187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 KINGSWAY DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637013601",
"telephone_number": "573-837-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 KINGSWAY DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637013601",
"telephone_number": "573-837-4017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR MEDICAL SUPPLIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-21",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "CALLIS",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-401-4993"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.