Organization Active NPI

Mile High Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Denver, CO
National Provider Identifier
1821185620
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MILE HIGH MEDICAL SUPPLY
Practice address
1562 S Parker Rd
Suite 114
Denver, CO 80231-2718
Phone
(303) 750-0512
Fax
(303) 750-0512
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Garnet Devon Smith
Title
Ownwe Member
Phone
(303) 750-0512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X CO Primary

Addresses

Primary practice location

1562 S Parker Rd
Suite 114
Denver, CO 80231-2718

Mailing address

1562 S Parker Rd
Suite 114
Denver, CO 80231-2718
Phone (303) 750-0512

Other identifiers 1

IdentifierTypeStateIssuer
16424557MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821185620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 S PARKER RD",
            "address_2": "SUITE 114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312718",
            "telephone_number": "303-750-0512",
            "fax_number": "303-750-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 S PARKER RD",
            "address_2": "SUITE 114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312718",
            "telephone_number": "303-750-0512",
            "fax_number": "303-750-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARNET",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "OWNWE MEMBER",
        "authorized_official_telephone_number": "303-750-0512",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16424557",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.