Bennett Medical Services Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

C-0165268 Issued in NV

Legal business name

BENNETT MEDICAL SERVICES INC

Practice address

1812 W Kettleman LN
Ste 3
Lodi, CA 95242-4209

Phone

(209) 339-8953

Fax

(209) 339-8491

NPI assigned

Jan 11, 2012

Organization subpart

Yes

Parent organization

BENNETT MEDICAL SERVICES INCAs reported in NPPES

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

Authorized official

Name

Mr. Douglas B Bennett, RRT

Title

President

Phone

(775) 329-0799

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Bennett Medical Services

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1851661565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MILL ST",
            "address_2": "STE 600",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022195",
            "telephone_number": "775-329-0799",
            "fax_number": "775-329-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W KETTLEMAN LN",
            "address_2": "STE 3",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424209",
            "telephone_number": "209-339-8953",
            "fax_number": "209-339-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT MEDICAL SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENNETT MEDICAL SERVICES INC",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-329-0799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "C-0165268",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "C-0165268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003316778",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Alan Beechler
• Aurora Renee Bell
• Tiffany Belousov, OTR/L
• Megan Belzer, RD
• Elizabeth Bender, NURSE PRACTITIONER
• Donna Marlane Bennett, FNP
• Elizabeth Emily Bennett, NP
• Malcolm Andrew Berean, LMFT
• Franklin Otto Bernhoft, PH.D.
• Michelle Ellen Besse, LMFT

• Oxygen Equipment & Supplies (DME) in Lodi, CA
• Providers in Lodi, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.