Active NPI
Norco, Inc
- Durable Medical Equipment & Medical Supplies
- Caldwell, ID
National Provider Identifier
1932263597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- DME252
- Legal business name
- NORCO, INC
- Practice address
- 1906 Fairview Ave Ste 120
Caldwell, ID 83605-5425 - Phone
- (208) 402-0100
- Fax
- (208) 402-0103
- NPI assigned
- Dec 20, 2006
- 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. Brent Seward
- Title
- Exe Vice President Medical
- Phone
- (208) 336-1643
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DME252 | ID | Primary |
| Customized Equipment (DME) | 332BC3200X | DME252 | ID | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | DME252 | ID | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | DME252 | ID | |
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1906 Fairview Ave Ste 120
Caldwell, ID 83605-5425
Mailing address
1125 W Amity Rd
Boise, ID 83705-5412
Phone (208) 336-1643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821158692-014 | Medicaid | ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1932263597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 W AMITY RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837055412",
"telephone_number": "208-336-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 FAIRVIEW AVE STE 120",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836055425",
"telephone_number": "208-402-0100",
"fax_number": "208-402-0103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORCO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "SEWARD",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "EXE VICE PRESIDENT MEDICAL",
"authorized_official_telephone_number": "208-336-1643",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ID",
"license": "DME252",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "ID",
"license": "DME252",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "ID",
"license": "DME252",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "ID",
"license": "DME252",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821158692-014",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.