Active NPI
Advanced Seating and Mobility, Inc.
- Customized Equipment (DME)
- Raleigh, NC
National Provider Identifier
1750468013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 01115
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704469 | Medicaid | NC | |
| 0460U | Other | NC | NC BCBS PROVIDER ID # |
| 3418832 | Other | NC | CAP |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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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 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.