Active NPI
Dr Medical LLC
- Prosthetic/Orthotic Supplier
- Attleboro, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- DR MEDICAL LLC
- Practice address
- 51 Park St
Attleboro, MA 02703-2363 - Phone
- (508) 222-1972
- Fax
- (508) 222-4532
- NPI assigned
- Apr 18, 2006
- Last updated
- Oct 11, 2011
- 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
- Mr. Daryl James Reuter, COF
- Title
- President
- Phone
- (508) 222-1972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
51 Park St
Attleboro, MA 02703-2363
Mailing address
51 Park St
Attleboro, MA 02703-2363
Phone (508) 222-1972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1800001 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930019652 | MA | DME Supplier - Medical Supply Company With Orthotic Personnel | 1052432481 | Practice locations: Attleboro, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Medical LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Willimantic, CT
- NPI 1679912927
Locations
51 Park St
Attleboro, MA 02703
Phone (401) 301-5633
53 Park St
Attleboro, MA 02703
Phone (508) 222-1972
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthotist
- Attleboro, MA
- NPI 1669073664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318291200000",
"number": "1932164464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 PARK ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032363",
"telephone_number": "508-222-1972",
"fax_number": "508-222-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 PARK ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032363",
"telephone_number": "508-222-1972",
"fax_number": "508-222-4532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2011-10-11",
"status": "A",
"authorized_official_last_name": "REUTER",
"authorized_official_first_name": "DARYL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-222-1972",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "COF"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1800001",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.