Active NPI
Kent Anderson
- Durable Medical Equipment & Medical Supplies
- White Lake, MI
National Provider Identifier
1730610585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 280 View Dr
White Lake, MI 48386-2343 - Phone
- (866) 290-5049
- Fax
- (888) 744-3731
- NPI assigned
- Mar 23, 2017
- Last updated
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Private Vehicle | 347C00000X | NU |
Addresses
Primary practice location
280 View Dr
White Lake, MI 48386-2343
Mailing address
280 View Dr
White Lake, MI 48386-2343
Phone (866) 290-5049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Auburn Hills, MI
- NPI 1699298307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1730610585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 VIEW DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862343",
"telephone_number": "866-290-5049",
"fax_number": "888-744-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 VIEW DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862343",
"telephone_number": "866-290-5049",
"fax_number": "888-744-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.