Active NPI
DME Billing Enterprises LLC
- Durable Medical Equipment & Medical Supplies
- Sheridan, WY
National Provider Identifier
1912721697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DME BILLING ENTERPRISES LLC
- Practice address
- 1309 Coffeen Ave Ste 15521
Sheridan, WY 82801-5777 - Phone
- (909) 347-0645
- NPI assigned
- Nov 11, 2024
- Last updated
- Jan 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krishna Penugonda
- Title
- Share Holder Owner
- Phone
- (909) 347-0645
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1309 Coffeen Ave Ste 15521
Sheridan, WY 82801-5777
Mailing address
1309 Coffeen Ave Ste 15521
Sheridan, WY 82801-5777
Phone (909) 347-0645
Other names 1
- DME BILLING ENTERPRISES LLC
National Provider Directory
National Provider Directory- Tax ID family
- DME Billing Enterprises LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diplomate Laboratory Management Specialist/Technologist
- Dunwoody, GA
- NPI 1306681879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1912721697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE STE 15521",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777",
"telephone_number": "909-347-0645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE STE 15521",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777",
"telephone_number": "909-347-0645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DME BILLING ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-11",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "PENUGONDA",
"authorized_official_first_name": "KRISHNA",
"authorized_official_title_or_position": "SHARE HOLDER OWNER",
"authorized_official_telephone_number": "909-347-0645"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DME BILLING ENTERPRISES LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "DME BILLING ENTERPRISES LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.