NPIMap

Organization Active NPI

KNCC Enterprise, LLC

  • Durable Medical Equipment & Medical Supplies
  • Springfield, OH
National Provider Identifier
1952836256
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMEL 11635 Issued in OH
Legal business name
KNCC ENTERPRISE, LLC
Practice address
155 S Tuttle Rd
Springfield, OH 45505-1560
Phone
(937) 717-6436
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Casey Young
Title
Owner
Phone
(937) 717-6436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMEL 11635 OH Primary

Addresses

Primary practice location

155 S Tuttle Rd
Springfield, OH 45505-1560

Mailing address

155 S Tuttle Rd
Springfield, OH 45505-1560

National Provider Directory

National Provider Directory
Tax ID family
KNCC Enterprise LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1952836256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S TUTTLE RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S TUTTLE RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051560",
            "telephone_number": "937-717-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNCC ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-717-6436"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL 11635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.