Organization Active NPI

Oxygen Specialists and Respiratory Supply, LLC

  • Oxygen Equipment & Supplies (DME)
  • Omaha, NE
National Provider Identifier
1215063359
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
126 Issued in NE
Legal business name
OXYGEN SPECIALISTS AND RESPIRATORY SUPPLY, LLC
Practice address
10607 Bondesson Cir
Omaha, NE 68122-9700
Phone
(402) 571-5911
Fax
(402) 571-5913
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deana Jean Leiferman, RRT
Title
Owner
Phone
(402) 571-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 126 NE Primary

Addresses

Primary practice location

10607 Bondesson Cir
Omaha, NE 68122-9700

Mailing address

10607 Bondesson Cir
Omaha, NE 68122-9700
Phone (402) 571-5911

Other identifiers 3

IdentifierTypeStateIssuer
0577254MedicaidIA
10042973300MedicaidNE
36902OtherNEDME PROVIDER BCBS

National Provider Directory

National Provider Directory

Locations

10607 Bondesson Cir
Omaha, NE 68122
Phone (402) 571-5911

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215063359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 BONDESSON CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681229700",
            "telephone_number": "402-571-5911",
            "fax_number": "402-571-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 BONDESSON CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681229700",
            "telephone_number": "402-571-5911",
            "fax_number": "402-571-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN SPECIALISTS AND RESPIRATORY SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEIFERMAN",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-571-5911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NE",
            "license": "126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577254",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10042973300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER  BCBS",
            "identifier": "36902",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • 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.