Minnesota Durable Medical Equipment LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MINNESOTA DURABLE MEDICAL EQUIPMENT LLC

Practice address

15600 36TH Ave N Ste 270
Minneapolis, MN 55446-3372

Phone

(612) 210-2452

NPI assigned

Jul 3, 2018

Last updated

Jul 3, 2018By 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

Jack Baldwin

Title

Dentist

Phone

(612) 210-2452

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1811483795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N STE 270",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554463372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 36TH AVE N STE 270",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554463372",
            "telephone_number": "612-210-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "612-210-2452"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Caring Center, LLC.
• Minnesota Center for Children LLC
• Minnesota Center for Children LLC
• Minnesota Colon & Rectal Surgical Specialists, PLLC
• Minnesota Dental Professionals, P.C. (Dental Arts of Minneapolis)
• Minnesota Emg Consultants, Inc.
• Minnesota Evidence-Based Therapy & Assessment Clinic, LLC (META Clinic, LLC)
• Minnesota Eye Consultants, PA (Park Optical)
• Minnesota Eye Consultants, PA
• Minnesota Health Operations LLC (Newport Academy-Minneapolis)

• Customized Equipment (DME) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.