Deridder Medical Equipment Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

DERIDDER MEDICAL EQUIPMENT SUPPLY

Practice address

709 Mahlon St
Deridder, LA 70634-4221

Phone

(337) 202-1911

Fax

(337) 202-1913

NPI assigned

May 2, 2011

Last updated

May 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Benton Rudolph Blakeney

Title

Owner

Phone

(337) 463-5291

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1346531852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RUSS ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706346035",
            "telephone_number": "337-463-5291",
            "fax_number": "337-463-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MAHLON ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344221",
            "telephone_number": "337-202-1911",
            "fax_number": "337-202-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIDDER MEDICAL EQUIPMENT SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "BLAKENEY",
        "authorized_official_first_name": "BENTON",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-463-5291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kati Dooley Day, APRN, CPNP-PC
• DDMS of Louisiana No 2, LLC
• DDMS of Louisiana No 2, LLC
• Dental Plus, LLC
• Deridder Chiropractic, LLC (DeRidder Chiropractic)
• Deridder Optical LLC
• Deridder Retirement & Rehabilitation Center, LLC (DeRidder Retirement & Rehabilitation Center)
• Kristin Denise Derossett, PHARM.D.
• Dimaggio Family Eye Care, Inc.
• Heather Dimaggio, O.D.

• Oxygen Equipment & Supplies (DME) in Deridder, LA
• Providers in Deridder, LA by specialty
• Oxygen Equipment & Supplies (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.