Organization Active NPI

Dove Medical Supply Retail LLC

  • Durable Medical Equipment & Medical Supplies
  • Summerfield, NC
National Provider Identifier
1891397576
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DOVE MEDICAL SUPPLY RETAIL LLC
Practice address
7301 Summerfield Rd
Summerfield, NC 27358-9150
Phone
(336) 441-9001
NPI assigned
Nov 9, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DOVE MEDICAL SUPPLY RETAIL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Rebekah Spease
Title
General Manager
Phone
(704) 508-2016

Specialties & licenses 1

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

Addresses

Primary practice location

7301 Summerfield Rd
Summerfield, NC 27358-9150

Mailing address

155 S Eastway Dr
Troutman, NC 28166-9609
Phone (704) 508-2016

National Provider Directory

National Provider Directory
Part of
Dove Medical Supply Retail LLC

Locations

2172 Lawndale Dr
Greensboro, NC 27408
Phone (336) 574-1489

960 S Main St
Ste A
Kernersville, NC 27284
Phone (336) 365-1911

110 New Market
Madison, NC 27025
Phone (336) 949-9001

7301 Summerfield Rd
Summerfield, NC 27358
Phone (336) 441-9001

Practitioners & affiliated clinicians

Practitioners 2

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1891397576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S EASTWAY DR",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281669609",
            "telephone_number": "704-508-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SUMMERFIELD RD",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589150",
            "telephone_number": "336-441-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE MEDICAL SUPPLY RETAIL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOVE MEDICAL SUPPLY RETAIL LLC",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "SPEASE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "704-508-2016"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.