Concept Professional Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CONCEPT PROFESSIONAL SERVICES, LLC

Practice address

4609 S 16TH St
Fort Smith, AR 72901-7915

Phone

(479) 434-6971

Fax

(479) 434-6974

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Dan Herman Cotta

Title

Owner, Ceo

Phone

(479) 437-6971

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1942438262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 S 16TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017915",
            "telephone_number": "479-434-6971",
            "fax_number": "479-434-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 S 16TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017915",
            "telephone_number": "479-434-6971",
            "fax_number": "479-434-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "COTTA",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "479-437-6971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.