Active NPI
Advanced DME LLC
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
National Provider Identifier
1962083733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ADVANCED DME LLC
- Practice address
- 3315 Almaden Expy Ste 20
San Jose, CA 95118-1557 - Phone
- (408) 264-6644
- NPI assigned
- Apr 14, 2021
- 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
- Dr. Brian Coyle, DC
- Title
- Owner
- Phone
- (408) 396-6644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3315 Almaden Expy Ste 20
San Jose, CA 95118-1557
Mailing address
6707 38TH Ave N
Saint Petersburg, FL 33710-1536
Phone (727) 800-9958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231027000668 | CA | DME Supplier - Physician - Unknown Physician Specialty | 6608222609 | Practice locations: San Jose, CA |
National Provider Directory
National Provider DirectoryLocations
3315 Almaden Expy
Ste 20
San Jose, CA 95118
Phone (408) 264-6644
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Jose, CA
- NPI 1417029612
-
- Nurse Practitioner
- Santa Clara, CA
- NPI 1780370072
-
- Ambulatory Family Planning Facility
- San Jose, CA
- NPI 1932155298
-
- Nurse Practitioner
- San Jose, CA
- NPI 1407362239
-
- Chiropractor
- San Leandro, CA
- NPI 1043438039
-
- Chiropractor
- San Jose, CA
- NPI 1023103611
-
- Family Medicine Physician
- Castro Valley, CA
- NPI 1861561243
-
- Internal Medicine Physician
- Oakland, CA
- NPI 1538385786
-
- Chiropractor
- San Jose, CA
- NPI 1164694949
-
- Chiropractor
- San Francisco, CA
- NPI 1427181510
-
- Family Nurse Practitioner
- Berkeley, CA
- NPI 1962123380
-
- General Practice Physician
- Pleasanton, CA
- NPI 1851731616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618358400000",
"number": "1962083733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 38TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337101536",
"telephone_number": "727-800-9958",
"fax_number": "855-552-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 ALMADEN EXPY STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951181557",
"telephone_number": "408-264-6644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A",
"authorized_official_last_name": "COYLE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-396-6644",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.