Pro DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRO DME LLC

Practice address

2136 S Richards St Ste B
South Salt Lake, UT 84115-2606

Phone

(877) 655-7654

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Darin William Johncock

Title

Ceo

Phone

(888) 412-8087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1902258916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 S RICHARDS ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152606",
            "telephone_number": "888-412-8087",
            "fax_number": "888-522-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 S RICHARDS ST STE B",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152606",
            "telephone_number": "877-655-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "JOHNCOCK",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-412-8087"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Plaudis, BSN, RN
• Sophia Rey Pontello
• Devin Pope
• Elizabeth Popescue
• Julianna Marie Potter, CSW
• Marisa Christine Pugh, PTA
• Heidi Qin
• Caroline Chau Quach
• Melissa Radcliffe, APNP
• Kysa C Radley Osborne, LCSW

• Durable Medical Equipment & Medical Supplies in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.