Western Cpap Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

WD-1197 WY Issued in WY

Legal business name

WESTERN CPAP SUPPLY LLC

Practice address

4100 Laramie St
Suite 2
Cheyenne, WY 82001-1969

Phone

(307) 426-4012

Fax

(308) 633-3001

NPI assigned

Aug 24, 2009

Last updated

Apr 28, 2010By 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

Mr. Mark Alan Schultz, RPSGT

Title

Owner

Phone

(308) 633-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Western Cpap Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Gering, NE
  • NPI 1053472191

  8325241078

  Same PAC ID

Tax ID family

Western Cpap Supply LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Western Cpap Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cheyenne, WY
  • NPI 1679734958
  NPD tax ID
• Western Cpap Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Gering, NE
  • NPI 1053472191
  NPD tax ID

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.

• Gerald A Amundsen II, MD

  • Family Medicine Physician
  • Mustang, OK
  • NPI 1710989702
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1821220955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 VALLEY VIEW DR",
            "address_2": "SUITE 400",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611486",
            "telephone_number": "308-633-3000",
            "fax_number": "308-633-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LARAMIE ST",
            "address_2": "SUITE 2",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969",
            "telephone_number": "307-426-4012",
            "fax_number": "308-633-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CPAP SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-633-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": "WD-1197 WY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053472191",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Wertz, BCBA
• Caleb West
• Daniel Taylor West, AGNP-C
• Linda J West, MS LPC
• Lawrence M Westerdahl
• Western Cpap Supply, LLC
• Western Medical Services LLC
• Western Sky Dental LLC (Davis Dental PC)
• Western Sky Dental LLC (Davis Dental PC)
• Western Sleep Medicine LLC

• Durable Medical Equipment & Medical Supplies in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.