Active NPI
KM Remodeling LLC
- Customized Equipment (DME)
- San Antonio, TX
National Provider Identifier
1801307228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- KM REMODELING LLC
- Practice address
- 7915 Mainland Dr Ste 200
San Antonio, TX 78250-5160 - Phone
- (210) 680-5626
- Fax
- (210) 680-5625
- NPI assigned
- Oct 12, 2017
- 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
- Keith B Moehle
- Title
- General Manager
- Phone
- (210) 889-5626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
7915 Mainland Dr Ste 200
San Antonio, TX 78250-5160
Mailing address
7915 Mainland Dr Ste 200
San Antonio, TX 78250-5160
Phone (210) 680-5626
National Provider Directory
National Provider DirectoryLocations
7915 Mainland Dr
Ste 200
San Antonio, TX 78250
Phone (210) 680-5626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507766400000",
"number": "1801307228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 MAINLAND DR STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782505160",
"telephone_number": "210-680-5626",
"fax_number": "210-680-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 MAINLAND DR STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782505160",
"telephone_number": "210-680-5626",
"fax_number": "210-680-5625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KM REMODELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-12",
"last_updated": "2017-10-12",
"status": "A",
"authorized_official_last_name": "MOEHLE",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "210-889-5626"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.