Organization Active NPI

Dependacare Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Broken Arrow, OK
National Provider Identifier
1013005099
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
451991 Issued in OK
Legal business name
DEPENDACARE MEDICAL EQUIPMENT, INC.
Practice address
2417 N Aspen Ave
Broken Arrow, OK 74012-1142
Phone
(918) 251-9920
Fax
(918) 251-1090
NPI assigned
Oct 11, 2006
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Mr. William David Schroeder
Title
President
Phone
(918) 251-9920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 451991 OK Primary

Addresses

Primary practice location

2417 N Aspen Ave
Broken Arrow, OK 74012-1142

Mailing address

PO Box 140036
Broken Arrow, OK 74014-0001
Phone (918) 251-9920

Other names 1

  • Dependacare, Inc. Other name

National Provider Directory

National Provider Directory

Locations

2417 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 251-9920

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1013005099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140036",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740140001",
            "telephone_number": "918-251-9920",
            "fax_number": "918-251-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121142",
            "telephone_number": "918-251-9920",
            "fax_number": "918-251-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDACARE MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-251-9920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "451991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dependacare, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.