Bethesda Lake Medical Suppies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BETHESDA LAKE MEDICAL SUPPIES INC

Practice address

4610 Arville St
Ste a
Las Vegas, NV 89103-5357

Phone

(702) 882-0729

Fax

(702) 870-7878

NPI assigned

Mar 10, 2015

Last updated

Mar 10, 2015By 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

Joseph Christian Buban

Title

President

Phone

(702) 882-0729

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1871986166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 ARVILLE ST",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035357",
            "telephone_number": "702-882-0729",
            "fax_number": "702-870-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 ARVILLE ST",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035357",
            "telephone_number": "702-882-0729",
            "fax_number": "702-870-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA LAKE MEDICAL SUPPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "BUBAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-882-0729"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Charnice Bethea
• Syvette Bethea, WHNP
• Yvonne Lynette Bethea, R.D.H
• Bethesda Cares LLC (Bethesda Care Home)
• Bethesda Home Health, LLC
• Mary Janette Betita, APRN
• Pamela Katy Betkowski, COTA/L
• Francis Fee Beto
• Nicole Michelle Betson, B.A., Q.M.H.A.
• Heather Ashley Bettencourt, RN

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.