BKT Collection & Extensions LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BKT COLLECTION & EXTENSIONS LLC

Doing business as

BKT Extensions RX

Practice address

929 Glitter LN
Waynesboro, MS 39367-2036

Phone

(601) 549-0710

Fax

(601) 549-0710

NPI assigned

May 6, 2021

Last updated

Dec 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BKT COLLECTION & EXTENSIONS LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Kimberly Smith, RMANPI 1578247532

Title

Cfo/Owner

Phone

(601) 549-0710

Specialties & licenses 2

Addresses

Other names 1

• BKT Extensions RX Doing business as

Electronic endpoints 1

Part of

BKT Collection Extensions LLC

Locations

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.

• Kimberly Tazamear Smith, RMA

  • Orthotic Fitter
  • Hattiesburg, MS
  • NPI 1578247532
  NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1942884960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 RIDGEWOOD DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268030",
            "telephone_number": "601-549-0710",
            "fax_number": "601-549-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GLITTER LN",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672036",
            "telephone_number": "601-549-0710",
            "fax_number": "601-549-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKT COLLECTION & EXTENSIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BKT COLLECTION & EXTENSIONS LLC",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "601-549-0710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bktcollection.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "929 Glitter Ln",
            "city": "Waynesboro",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393672036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BKT Extensions RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bendan Boyd, FNP-C

• Customized Equipment (DME) in Waynesboro, MS
• Providers in Waynesboro, MS by specialty
• Customized Equipment (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.