Active NPI
Oxygen Specialists and Respiratory Supply, LLC
- Oxygen Equipment & Supplies (DME)
- Omaha, NE
National Provider Identifier
1215063359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 126
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0577254 | Medicaid | IA | |
| 10042973300 | Medicaid | NE | |
| 36902 | Other | NE | DME PROVIDER BCBS |
National Provider Directory
National Provider DirectoryLocations
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.