Organization Active NPI

Advanced Seating and Mobility, Inc.

  • Customized Equipment (DME)
  • Raleigh, NC
National Provider Identifier
1750468013
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
01115 Issued in NC
Legal business name
ADVANCED SEATING AND MOBILITY, INC.
Practice address
8800 Westgate Park Dr
Suite 110
Raleigh, NC 27617
Phone
(919) 782-5110
Fax
(919) 782-7232
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mrs. Madhavi Manduru-Rao
Title
President
Phone
(919) 782-5110

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3418832 NC
Customized Equipment (DME) 332BC3200X
Customized Equipment (DME) 332BC3200X 01115 NC Primary

Addresses

Primary practice location

8800 Westgate Park Dr
Suite 110
Raleigh, NC 27617

Mailing address

8800 Westgate Park Dr
Suite 110
Raleigh, NC 27617
Phone (919) 782-5110

Other identifiers 3

IdentifierTypeStateIssuer
7704469MedicaidNC
0460UOtherNCNC BCBS PROVIDER ID #
3418832OtherNCCAP

National Provider Directory

National Provider Directory

Locations

8800 Westgate Park Dr
Ste 110
Raleigh, NC 27617
Phone (919) 782-5110

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1750468013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 WESTGATE PARK DR",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27617",
            "telephone_number": "919-782-5110",
            "fax_number": "919-782-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WESTGATE PARK DR",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27617",
            "telephone_number": "919-782-5110",
            "fax_number": "919-782-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SEATING AND MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "MANDURU-RAO",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-782-5110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "3418832",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704469",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS PROVIDER ID #",
            "identifier": "0460U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "3418832",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.