Organization Active NPI

Mending Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
National Provider Identifier
1891213476
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MENDING MEDICAL SUPPLIES, LLC
Practice address
3111 E Washington Ave Ste 103
Madison, WI 53704-4330
Phone
(608) 856-4010
Fax
(262) 923-1231
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Tony Wright
Title
Cfo
Phone
(407) 971-8708

Specialties & licenses 1

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

Addresses

Primary practice location

3111 E Washington Ave Ste 103
Madison, WI 53704-4330

Mailing address

3111 E Washington Ave Ste 103
Madison, WI 53704-4330
Phone (608) 856-4010

National Provider Directory

National Provider Directory

Locations

3111 E Washington Ave
Ste 103
Madison, WI 53704
Phone (608) 856-4010

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1891213476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 E WASHINGTON AVE STE 103",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044330",
            "telephone_number": "608-856-4010",
            "fax_number": "262-923-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 E WASHINGTON AVE STE 103",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044330",
            "telephone_number": "608-856-4010",
            "fax_number": "262-923-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-971-8708"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.