Organization Active NPI

Jakz Medical Equipment, Service & Supply

  • Oxygen Equipment & Supplies (DME)
  • Carmel, IN
National Provider Identifier
1790784635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
JAKZ MEDICAL EQUIPMENT, SERVICE & SUPPLY
Practice address
755 W Carmel Dr
Suite 112
Carmel, IN 46032-5877
Phone
(317) 815-0900
Fax
(317) 818-0853
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gorky D Zuniga, PE, MBA
Title
President/Owner
Phone
(317) 815-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

755 W Carmel Dr
Suite 112
Carmel, IN 46032-5877

Mailing address

755 W Carmel Dr
Suite 112
Carmel, IN 46032-5877
Phone (317) 815-0900

Other names 1

  • Jakz Medical Doing business as

National Provider Directory

National Provider Directory

Locations

755 W Carmel Dr
Ste 112
Carmel, IN 46032
Phone (317) 815-0900

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790784635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 112",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-815-0900",
            "fax_number": "317-818-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 112",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-815-0900",
            "fax_number": "317-818-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKZ MEDICAL EQUIPMENT, SERVICE & SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "GORKY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-815-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PE, MBA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jakz Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.