Regal Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0077863 Issued in TX

Legal business name

REGAL MEDICAL SUPPLY, LLC

Practice address

135 N Main St
Wichita, KS 67202-1400

Phone

(866) 997-3425

Fax

(877) 734-2579

NPI assigned

Sep 26, 2006

Last updated

Aug 1, 2008By 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

John SheroNPI 1013145804

Title

Contact

Phone

(817) 894-9436

Specialties & licenses 2

Addresses

Locations

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.

• John E Shero, CPED

  • Specialist
  • Wichita, KS
  • NPI 1013145804
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1801997788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021400",
            "telephone_number": "866-997-3425",
            "fax_number": "877-734-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021400",
            "telephone_number": "866-997-3425",
            "fax_number": "877-734-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SHERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTACT",
        "authorized_official_telephone_number": "817-894-9436"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0077863",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Wichita, KS
• Providers in Wichita, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.