Organization Active NPI

Knight Medical Supply L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Stillwater, OK
National Provider Identifier
1194881953
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KNIGHT MEDICAL SUPPLY L.L.C.
Practice address
802 S Lewis St
Stillwater, OK 74074-4621
Phone
(405) 743-1646
Fax
(405) 743-8202
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Mrs. Shelia Mae Knight
Title
Owner, Manager
Phone
(405) 743-1646

Specialties & licenses 1

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

Addresses

Primary practice location

802 S Lewis St
Stillwater, OK 74074-4621

Mailing address

802 S Lewis St
Stillwater, OK 74074-4621
Phone (405) 743-1646

Other identifiers 2

IdentifierTypeStateIssuer
1064120001OtherOKMEDICARE ID PRIOR TO 01/01/07
100811470AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930024516 OK DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 9830393693 Practice locations: Stillwater, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Knight Medical Supply LLC802 S Lewis St, Stillwater, OK 74074-4621(405) 743-1646 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Externa… Does not accept assignmentParticipating since Apr 16, 2007

National Provider Directory

National Provider Directory

Locations

802 S Lewis St
Stillwater, OK 74074
Phone (405) 743-1646

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1194881953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S LEWIS ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744621",
            "telephone_number": "405-743-1646",
            "fax_number": "405-743-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S LEWIS ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744621",
            "telephone_number": "405-743-1646",
            "fax_number": "405-743-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT MEDICAL SUPPLY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "405-743-1646",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID PRIOR TO 01/01/07",
            "identifier": "1064120001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.