Organization Active NPI

Accurate Oxygen and Medical Supplies, LLC

  • Oxygen Equipment & Supplies (DME)
  • Wickenburg, AZ
National Provider Identifier
1326046863
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
20020638 Issued in AZ
Legal business name
ACCURATE OXYGEN AND MEDICAL SUPPLIES, LLC
Practice address
980 N Tegner St
Suite a
Wickenburg, AZ 85390-1468
Phone
(928) 684-5313
Fax
(928) 684-5323
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Mr. Charles R Lopez, RT
Title
Owner/Operator
Phone
(928) 684-5313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 20020638 AZ Primary

Addresses

Primary practice location

980 N Tegner St
Suite a
Wickenburg, AZ 85390-1468

Mailing address

980 N Tegner St
Suite a
Wickenburg, AZ 85390-1468
Phone (928) 684-5313

Other identifiers 1

IdentifierTypeStateIssuer
AZ0279840OtherAZBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

811 N Tegner St
Ste 127
Wickenburg, AZ 85390
Phone (928) 684-5313

980 N Tegner St
Ste A
Wickenburg, AZ 85390
Phone (928) 684-5313

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1326046863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N TEGNER ST",
            "address_2": "SUITE A",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901468",
            "telephone_number": "928-684-5313",
            "fax_number": "928-684-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N TEGNER ST",
            "address_2": "SUITE A",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901468",
            "telephone_number": "928-684-5313",
            "fax_number": "928-684-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE OXYGEN AND MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "928-684-5313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "20020638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0279840",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.