MEDICARE: DEXCOM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	47936	CA
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235312695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEXCOM, INC.

Provider Business Mailing Address
First Line	:	6340 SEQUENCE DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4356
Country	:	US
Telephone Number	:	858-200-0200
Fax Number	:	858-875-5324

Provider Business Practice Location Address
First Line	:	6340 SEQUENCE DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121
Country	:	US
Telephone Number	:	858-200-0200
Fax Number	:	858-875-5324

Authorized Official
Title or Position	:	SVP FINANCE & CHIEF ACCOUNTING OFF
Name	:	JEREME SYLVAIN
Credential	:
Telephone Number	:	858-203-6538

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	06/19/2020

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Directions to “DEXCOM, INC. ” Practice Location

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