Organization Active NPI

924 Holdings, Inc

Doing business as Optima Surgical

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
National Provider Identifier
1679054886
Registry record updated Aug 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
924 HOLDINGS, INC
Doing business as
Optima Surgical
Practice address
437 S 48TH St Ste 107
Tempe, AZ 85281-2308
Phone
(480) 822-8216
NPI assigned
Aug 25, 2018
Last updated
Aug 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2018

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

Authorized official

Name
Mike Budak
Title
President
Phone
(480) 822-8216

Specialties & licenses 1

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

Addresses

Primary practice location

437 S 48TH St Ste 107
Tempe, AZ 85281-2308

Mailing address

437 S 48TH St Ste 107
Tempe, AZ 85281-2308
Phone (480) 822-8216

Other names 1

  • Optima Surgical Doing business as

National Provider Directory

National Provider Directory

Locations

437 S 48th St
Ste 107
Tempe, AZ 85281
Phone (480) 822-8216

NPI Registry JSON

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535155200000",
    "number": "1679054886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S 48TH ST STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812308",
            "telephone_number": "480-822-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S 48TH ST STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812308",
            "telephone_number": "480-822-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "924 HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-25",
        "last_updated": "2018-08-25",
        "status": "A",
        "authorized_official_last_name": "BUDAK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-822-8216"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.