Active NPI
Kight'S Medical Corp
- Oxygen Equipment & Supplies (DME)
- Portsmouth, VA
National Provider Identifier
1124336532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 37948
- Legal business name
- KIGHT'S MEDICAL CORP
- Practice address
- 901 Port Centre Pkwy
Suite 8
Portsmouth, VA 23704-6761 - Phone
- (757) 392-3670
- NPI assigned
- Sep 20, 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. John A Kight, RPH
- Title
- Ceo
- Phone
- (919) 878-6666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 37948 | VA | Primary |
Addresses
Primary practice location
901 Port Centre Pkwy
Suite 8
Portsmouth, VA 23704-6761
Mailing address
201 Kitty Hawk Dr
Ste 95
Morrisville, NC 27560-7659
Phone (919) 878-6666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7705039 | Medicaid | NC | |
| 1033372248 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Kight'S Medical Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
- NPI 1053435180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1124336532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 KITTY HAWK DR",
"address_2": "STE 95",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275607659",
"telephone_number": "919-878-6666",
"fax_number": "919-878-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PORT CENTRE PKWY",
"address_2": "SUITE 8",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237046761",
"telephone_number": "757-392-3670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIGHT'S MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "KIGHT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-878-6666",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "VA",
"license": "37948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7705039",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033372248",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.