NPIMap

Organization Active NPI

Interactive Medical Systems

  • Durable Medical Equipment & Medical Supplies
  • Tigard, OR
National Provider Identifier
1891066197
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTERACTIVE MEDICAL SYSTEMS
Practice address
16588 SW 72ND Ave
Tigard, OR 97224-7755
Phone
(888) 877-0209
Fax
(888) 877-0212
NPI assigned
Jan 18, 2012
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mr. Daniel Reitz
Title
Ceo
Phone
(626) 487-3031

Specialties & licenses 1

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

Addresses

Primary practice location

16588 SW 72ND Ave
Tigard, OR 97224-7755

Mailing address

12882 Valley View St
Ste 9
Garden Grove, CA 92845-2519
Phone (714) 894-5029

Other identifiers 1

IdentifierTypeStateIssuer
332B00000XOtherORDURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES

National Provider Directory

National Provider Directory
Tax ID family
Interactive Medical Systems Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16588 SW 72nd Ave
Tigard, OR 97224
Phone (888) 877-0209

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1891066197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12882 VALLEY VIEW ST",
            "address_2": "STE 9",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452519",
            "telephone_number": "714-894-5029",
            "fax_number": "310-227-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16588 SW 72ND AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247755",
            "telephone_number": "888-877-0209",
            "fax_number": "888-877-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE MEDICAL SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "REITZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-487-3031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES",
            "identifier": "332B00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.