Fourth Dimension Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOURTH DIMENSION CORP

Practice address

61148 Benham Rd
Bend, OR 97702-2652

Phone

(541) 383-2364

Fax

(541) 383-2364

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Michael A Lantz

Title

Director

Phone

(541) 647-7762

Specialties & licenses 2

Addresses

Other names 1

• Authorized Medical Supply Doing business as

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1891036554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61148 BENHAM RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022652",
            "telephone_number": "541-383-2364",
            "fax_number": "541-383-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61148 BENHAM RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022652",
            "telephone_number": "541-383-2364",
            "fax_number": "541-383-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH DIMENSION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "LANTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-647-7762"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authorized Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Susann Foster, PT
• Katherine L Foster
• Vickey Foster, LBA
• Blaire Amanda Foubister, PT
• Erin Lynn Fourier, BS
• Karen Fowler
• Kelli Rene Fowles, DMD
• Taylor Fowles, DMD
• Fox Hollow Bend, LLC
• Alicia M Fox

• Durable Medical Equipment & Medical Supplies in Bend, OR
• Providers in Bend, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.