Organization Active NPI

Reyland Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • West Columbia, SC
National Provider Identifier
1912911298
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
032385455 Issued in SC
Legal business name
REYLAND MEDICAL, LLC
Practice address
1053 Sunset Blvd
West Columbia, SC 29169-6861
Phone
(844) 244-0240
Fax
(866) 277-9277
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mr. David Landsman
Title
Member
Phone
(844) 244-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 032385455 SC Primary

Addresses

Primary practice location

1053 Sunset Blvd
West Columbia, SC 29169-6861

Mailing address

3605 Sandy Plains Rd Ste 240 #234
Marietta, GA 30066-3066
Phone (844) 244-0240

Other identifiers 2

IdentifierTypeStateIssuer
DE2732MedicaidSC
003149785AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3605 Sandy Plains Rd
Ste 240
Marietta, GA 30066

1053 Sunset Blvd
West Columbia, SC 29169
Phone (803) 939-4673

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1912911298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 SANDY PLAINS RD STE 240 #234",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663066",
            "telephone_number": "844-244-0240",
            "fax_number": "866-277-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696861",
            "telephone_number": "844-244-0240",
            "fax_number": "866-277-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYLAND MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LANDSMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "844-244-0240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "032385455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2732",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003149785A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.