Active NPI
The JB Benzie Co. Inc
- Durable Medical Equipment & Medical Supplies
- Boise, ID
National Provider Identifier
1710288261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THE JB BENZIE CO. INC
- Practice address
- 4489 N Dresden PL
#104
Boise, ID 83714-5004 - Phone
- (208) 866-3473
- NPI assigned
- Nov 14, 2010
- 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
- Mr. Donald Lee Miller
- Title
- Owner
- Phone
- (208) 866-3473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4489 N Dresden PL
#104
Boise, ID 83714-5004
Mailing address
5407 N Samson Ave
Boise, ID 83704-1954
Phone (208) 866-3473
Other names 1
- The Easy Chair Store
National Provider Directory
National Provider DirectoryLocations
4489 N Dresden Pl
Ste 104
Boise, ID 83714
Phone (208) 866-3473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289692800000",
"number": "1710288261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 N SAMSON AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837041954",
"telephone_number": "208-866-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4489 N DRESDEN PL",
"address_2": "#104",
"city": "BOISE",
"state": "ID",
"postal_code": "837145004",
"telephone_number": "208-866-3473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE JB BENZIE CO. INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-14",
"last_updated": "2010-11-14",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-866-3473",
"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": "The Easy Chair Store",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.