COMPLETE MEDICAL SUPPLY
NPI 1487279675
Durable Medical Equipment & Medical Supplies in Sioux Falls, SD

NPI Status: Active since June 12, 2020

Contact Information

5107 W. 41ST STREET
SUITE 4
SIOUX FALLS, SD
ZIP 57106
Phone: (605) 321-5174

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 43D2098318
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 07-05-2027

About COMPLETE MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Complete Medical Supply, a provider established in Sioux Falls, South Dakota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1487279675 assigned on June 2020. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jeffrey Davis (Owner/president)

NPI
1487279675
Provider Name
COMPLETE MEDICAL SUPPLY
Entity Type
Organization
Location Address
5107 W. 41ST STREET SUITE 4 SIOUX FALLS, SD 57106
Location Phone
(605) 321-5174
Mailing Address
5107 W. 41ST STREET SUITE 4 SIOUX FALLS, SD 57106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2020
Last Update Date
07-03-2020
Code Navigator



Complete Medical Supply is a medicare supplier with PTAN 20413235 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY DAVIS

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(605) 275-0270

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20413235
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D2098318
Facility Type
Practitioner Other
Certificate Effective Date
July 06, 2025
Certificate Expiration Date
July 05, 2027
Laboratory Director
JEFFREY DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Complete Medical Supply to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487279675, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 4 + 7 + 1 + 8 + 6 + 1 + 4 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1487279675.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487279675, enumerated as an "organization" on June 12, 2020.

The provider is located at 5107 W. 41ST STREET SUITE 4 SIOUX FALLS, SD 57106 and the phone number is (605) 321-5174.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.