DME Supply Place Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20177241 Issued in AZ

Legal business name

DME SUPPLY PLACE INC.

Practice address

15224 N 59TH Ave
2
Glendale, AZ 85306-3215

Phone

(602) 993-5508

Fax

(602) 993-5521

NPI assigned

Aug 13, 2007

Last updated

Jan 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruslan Bolochan

Title

President

Phone

(602) 993-5508

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1932391000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15224 N 59TH AVE",
            "address_2": "2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063215",
            "telephone_number": "602-993-5508",
            "fax_number": "602-993-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15224 N 59TH AVE",
            "address_2": "2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063215",
            "telephone_number": "602-993-5508",
            "fax_number": "602-993-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME SUPPLY PLACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "BOLOCHAN",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-993-5508"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20177241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Divito, NP
• Marissa Danielle Divito
• Victoria Friedman Dixon, DMD
• Kenneth Dizon, DO
• Nasser Djavadi, MD
• Phuong Anh Thi DO
• Bao Thuy Thi Doan, MD
• William G Dobbin, PHARM.D
• Dobbins Hearing Service, P.C.
• Edward Anthony Dobbins, AU.D.

• Durable Medical Equipment & Medical Supplies in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.