Organization Active NPI

Mattress Outlet of Upstate LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
National Provider Identifier
1982006342
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MATTRESS OUTLET OF UPSTATE LLC
Practice address
1170 Woodruff Rd
Unit 5
Greenville, SC 29607-4154
Phone
(864) 329-8999
Fax
(864) 329-8668
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Mr. Brandon Franklin Smith
Title
Owner
Phone
(864) 329-8999

Specialties & licenses 1

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

Addresses

Primary practice location

1170 Woodruff Rd
Unit 5
Greenville, SC 29607-4154

Mailing address

1170 Woodruff Rd
Unit 5
Greenville, SC 29607-4154
Phone (864) 329-8999

National Provider Directory

National Provider Directory

Locations

1170 Woodruff Rd
Ste 5
Greenville, SC 29607
Phone (864) 329-8999

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1982006342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 WOODRUFF RD",
            "address_2": "UNIT 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074154",
            "telephone_number": "864-329-8999",
            "fax_number": "864-329-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 WOODRUFF RD",
            "address_2": "UNIT 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074154",
            "telephone_number": "864-329-8999",
            "fax_number": "864-329-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTRESS OUTLET OF UPSTATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-329-8999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.