Organization Active NPI

Kreisers Inc

  • Durable Medical Equipment & Medical Supplies
  • Rapid City, SD
National Provider Identifier
1821161498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KREISERS INC
Practice address
403 West Blvd
Rapid City, SD 57701-2672
Phone
(605) 342-2773
Fax
(605) 342-8212
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Philip L. Johnson
Title
VP
Phone
(605) 336-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

403 West Blvd
Rapid City, SD 57701-2672

Mailing address

403 West Blvd
Rapid City, SD 57701-2672
Phone (605) 342-2773

Other identifiers 1

IdentifierTypeStateIssuer
9167730MedicaidSD

National Provider Directory

National Provider Directory

Locations

403 West Blvd
Rapid City, SD 57701
Phone (605) 342-2773

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821161498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WEST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012672",
            "telephone_number": "605-342-2773",
            "fax_number": "605-342-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WEST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012672",
            "telephone_number": "605-342-2773",
            "fax_number": "605-342-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREISERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "605-336-1155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9167730",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

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.