Organization Active NPI

Sierra Oxygen Service Inc.

  • Oxygen Equipment & Supplies (DME)
  • Carson City, NV
National Provider Identifier
1376571968
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SIERRA OXYGEN SERVICE INC.
Practice address
200 Bath Street
Suite 2
Carson City, NV 89701-2459
Phone
(775) 884-1234
Fax
(775) 884-1241
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Cindy J Wendell
Title
Executive
Phone
(775) 884-1234

Specialties & licenses 1

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

Addresses

Primary practice location

200 Bath Street
Suite 2
Carson City, NV 89701-2459

Mailing address

200 Bath Street
Suite 2
Carson City, NV 89701-2459
Phone (775) 884-1234

Other identifiers 2

IdentifierTypeStateIssuer
003313007MedicaidNV
03313007MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930006312 NV DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1658584420 Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1376571968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BATH STREET",
            "address_2": "SUITE 2",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897012459",
            "telephone_number": "775-884-1234",
            "fax_number": "775-884-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BATH STREET",
            "address_2": "SUITE 2",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897012459",
            "telephone_number": "775-884-1234",
            "fax_number": "775-884-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA OXYGEN SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "775-884-1234"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003313007",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03313007",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.