Active NPI
Dependacare Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- Broken Arrow, OK
National Provider Identifier
1013005099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 451991
- 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, 2010
- 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
- Mr. William David Schroeder
- Title
- President
- Phone
- (918) 251-9920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.