Active NPI
Active Medical Equipment LLC
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ACTIVE MEDICAL EQUIPMENT LLC
- Practice address
- 1233 N Mayfair Rd Ste 120
Wauwatosa, WI 53226-3255 - Phone
- (414) 988-0023
- NPI assigned
- May 29, 2020
- Last updated
- May 29, 2020
- 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
- Dr. Anthony Miller
- Title
- Owner
- Phone
- (414) 988-0023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1233 N Mayfair Rd Ste 120
Wauwatosa, WI 53226-3255
Mailing address
1233 N Mayfair Rd Ste 120
Wauwatosa, WI 53226-3255
Phone (414) 988-0023
National Provider Directory
National Provider Directory- Tax ID family
- Eden Medical Supply LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Eden Medical Supply
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1598381212
Locations
17495 W Capitol Dr
Ste L
Brookfield, WI 53045
Phone (262) 264-6610
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Brookfield, WI
- NPI 1265674741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590710400000",
"number": "1861016404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 N MAYFAIR RD STE 120",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263255",
"telephone_number": "414-988-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 N MAYFAIR RD STE 120",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263255",
"telephone_number": "414-988-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE MEDICAL EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-988-0023",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.