Organization Active NPI

American Health Supply Inc

  • Prosthetic/Orthotic Supplier
  • Jensen Beach, FL
National Provider Identifier
1871879882
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
AMERICAN HEALTH SUPPLY INC
Practice address
1080 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4778
Phone
(855) 760-8957
Fax
(888) 476-3461
NPI assigned
Oct 24, 2011
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dodridge Everette Smith
Title
Owner
Phone
(772) 418-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

1080 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4778

Mailing address

1080 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4778
Phone (855) 760-8957

National Provider Directory

National Provider Directory

Locations

1004 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (866) 760-8957

1080 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6066

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1871879882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574778",
            "telephone_number": "855-760-8957",
            "fax_number": "888-476-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574778",
            "telephone_number": "855-760-8957",
            "fax_number": "888-476-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DODRIDGE",
        "authorized_official_middle_name": "EVERETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-418-6412"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.