NPIMap

Organization Active NPI

KB Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Idianapolis, IN
National Provider Identifier
1861761934
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KB MEDICAL, INC.
Practice address
8455
Castlewood Drive, Suite J
Idianapolis, IN 46250
Phone
(317) 727-2791
Fax
(317) 859-0912
NPI assigned
Dec 20, 2011
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mr. John Michael Kolisek
Title
Owner
Phone
(413) 297-1198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8455
Castlewood Drive, Suite J
Idianapolis, IN 46250

Mailing address

8455
Castlewood Drive, Suite J
Idianapolis, IN 46250
Phone (317) 727-2791

National Provider Directory

National Provider Directory

Locations

8455 Castlewood Dr
Ste J
Indianapolis, IN 46250
Phone (317) 727-2791

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1861761934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455",
            "address_2": "CASTLEWOOD DRIVE, SUITE J",
            "city": "IDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-727-2791",
            "fax_number": "317-859-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455",
            "address_2": "CASTLEWOOD DRIVE, SUITE J",
            "city": "IDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-727-2791",
            "fax_number": "317-859-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "KOLISEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-297-1198",
        "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": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.