Active Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ACTIVE MEDICAL SUPPLIES, INC

Practice address

2413 Buckingham SQ
#315
Urbandale, IA 50322-4522

Phone

(515) 779-7702

Fax

(515) 285-9247

NPI assigned

Jan 8, 2007

Last updated

Mar 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Les Chalfin, C.-PEDNPI 1902075450

Title

President

Phone

(515) 256-9006

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Les Chalfin, C-PED

  • Durable Medical Equipment & Medical Supplies
  • Windsor Heights, IA
  • NPI 1902075450
  Authorized official Same address or phone

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1790833465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 BUCKINGHAM SQ",
            "address_2": "#315",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224522",
            "telephone_number": "515-779-7702",
            "fax_number": "515-285-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 BUCKINGHAM SQ",
            "address_2": "#315",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224522",
            "telephone_number": "515-779-7702",
            "fax_number": "515-285-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "CHALFIN",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-256-9006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.-PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.