Assured Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ASSURED MEDICAL SUPPLY, INC.

Practice address

1665 Rainbow Dr Ste 7
Bullhead City, AZ 86442

Phone

(866) 487-0084

Fax

(866) 487-0083

NPI assigned

May 23, 2019

Organization subpart

Yes

Parent organization

ASSURED MEDICAL SUPPLY, INC.As reported in NPPES

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

Authorized official

Name

Dennis William Karnes

Title

Ceo

Phone

(866) 487-0084

Specialties & licenses 1

Addresses

Part of

Assured Medical Supply Inc

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1710544895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23541 RIDGE ROUTE DR STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531500",
            "telephone_number": "949-487-0084",
            "fax_number": "949-487-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 RAINBOW DR STE 7",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "866-487-0084",
            "fax_number": "866-487-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1599 Ramar Rd",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864426010",
            "country_code": "US",
            "telephone_number": "949-487-0084",
            "fax_number": "949-487-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSURED MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSURED MEDICAL SUPPLY, INC.",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-487-0084"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.