Active NPI
Element 1B, LLC
Doing business as Suppliesdotcom
- Durable Medical Equipment & Medical Supplies
- Tamuning, GU
National Provider Identifier
1841007556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ELEMENT 1B, LLC
- Doing business as
- Suppliesdotcom
- Practice address
- 543 Guma Yuos Street
Tamuning, GU 96913 - Phone
- (671) 864-5124
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jazzedypaul M Campos
- Title
- Owner
- Phone
- (671) 864-5124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
543 Guma Yuos Street
Tamuning, GU 96913
Mailing address
385 Farenholt Ave
Tamuning, GU 96913-3106
Phone (671) 864-5124
Other names 1
- Suppliesdotcom
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1841007556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 FARENHOLT AVE",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133106",
"telephone_number": "671-864-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 GUMA YUOS STREET",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-864-5124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEMENT 1B, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "CAMPOS",
"authorized_official_first_name": "JAZZEDYPAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "671-864-5124"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suppliesdotcom",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.