Resters Diabetic Shoes and Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RESTERS DIABETIC SHOES AND HOME MEDICAL

Practice address

103 West Commerce Street
Altus, OK 73521

Phone

(580) 480-1055

Fax

(580) 480-1077

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stanley Bruce Rester

Title

Owner

Phone

(580) 480-1055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194881060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WEST COMMERCE STREET",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "73521",
            "telephone_number": "580-480-1055",
            "fax_number": "580-480-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST COMMERCE STREET",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "73521",
            "telephone_number": "580-480-1055",
            "fax_number": "580-480-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTERS DIABETIC SHOES AND HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RESTER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-480-1055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.