Organization Active NPI

Healthback Medical Solutions, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
National Provider Identifier
1336369255
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEALTHBACK MEDICAL SOLUTIONS, INC.
Practice address
7512 Broadway Ext
Suite 312 B
Oklahoma City, OK 73116-9055
Phone
(405) 842-8217
Fax
(405) 842-8703
NPI assigned
Apr 26, 2007
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Mr. Troy L Ayers
Title
President & Ceo
Phone
(405) 842-1700

Specialties & licenses 1

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

Addresses

Primary practice location

7512 Broadway Ext
Suite 312 B
Oklahoma City, OK 73116-9055

Mailing address

7504 Broadway Ext
Oklahoma City, OK 73116-9028
Phone (405) 842-1700

Other identifiers 1

IdentifierTypeStateIssuer
200223450 AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1336369255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169028",
            "telephone_number": "405-842-1700",
            "fax_number": "405-767-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 BROADWAY EXT",
            "address_2": "SUITE 312 B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169055",
            "telephone_number": "405-842-8217",
            "fax_number": "405-842-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK MEDICAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "405-842-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200223450 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.