NPIMap

Organization Active NPI

JK Trainer, Inc

  • Durable Medical Equipment & Medical Supplies
  • North Platte, NE
National Provider Identifier
1669974093
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JK TRAINER, INC
Practice address
801 S Dewey St
North Platte, NE 69101-5524
Phone
(402) 606-4204
Fax
(402) 606-4210
NPI assigned
Mar 1, 2018
Organization subpart
Yes
Parent organization
JK TRAINER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Mr. John W Klemke
Title
President
Phone
(402) 650-7191

Specialties & licenses 1

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

Addresses

Primary practice location

801 S Dewey St
North Platte, NE 69101-5524

Mailing address

801 S Dewey St
North Platte, NE 69101-5524
Phone (402) 606-4204

Other names 1

  • See The Trainer - North Platte Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181010002305 NE DME Supplier - Medical Supply Company 1052541513 Practice locations: North Platte, NE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
See the Trainer-North Platte801 S Dewey St, North Platte, NE 69101-5524(308) 221-6383 Orthoses: Off-The-Shelf|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 21, 2014

National Provider Directory

National Provider Directory
Tax ID family
JK Trainer Inc3 organizations share this tax ID, including this one
Part of
JK Trainer Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 S Dewey St
North Platte, NE 69101
Phone (308) 221-6383

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1669974093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S DEWEY ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015524",
            "telephone_number": "402-606-4204",
            "fax_number": "402-606-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S DEWEY ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015524",
            "telephone_number": "402-606-4204",
            "fax_number": "402-606-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK TRAINER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JK TRAINER, INC",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "KLEMKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-650-7191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "See The Trainer - North Platte",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.