Ada Total Access, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADA TOTAL ACCESS, INC.

Practice address

125 Thunderbird LN
Suite 5
East Peoria, IL 61611-5508

Phone

(309) 698-9290

Fax

(309) 698-9280

NPI assigned

Jul 29, 2008

Last updated

Jul 29, 2008By 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. Todd W Largent

Title

President/Owner

Phone

(309) 698-9290

Specialties & licenses 1

Addresses

Other names 1

• NONE Other name

Locations

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1841456977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 THUNDERBIRD LN",
            "address_2": "SUITE 5",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616115508",
            "telephone_number": "309-698-9290",
            "fax_number": "309-698-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 THUNDERBIRD LN",
            "address_2": "SUITE 5",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616115508",
            "telephone_number": "309-698-9290",
            "fax_number": "309-698-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA TOTAL ACCESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "LARGENT",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "309-698-9290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.