Organization Active NPI

Oyo Bassey Eyo

  • Durable Medical Equipment & Medical Supplies
  • Garland, TX
National Provider Identifier
1396964490
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0097030 Issued in TX
Legal business name
OYO BASSEY EYO
Practice address
4529 Forest LN
Suite 102
Garland, TX 75042-6826
Phone
(972) 205-1000
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Oyo Bassey Eyo
Title
Owner
Phone
(972) 205-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0097030 TX Primary

Addresses

Primary practice location

4529 Forest LN
Suite 102
Garland, TX 75042-6826

Mailing address

4529 Forest LN
Suite 102
Garland, TX 75042-6826
Phone (972) 205-1000

Other identifiers 2

IdentifierTypeStateIssuer
191580301MedicaidTX
191580302MedicaidTX

Other names 1

  • Choice Health Management (DME) Doing business as

National Provider Directory

National Provider Directory

Locations

4529 Forest Ln
#102
Garland, TX 75042
Phone (972) 205-1000

4529 Forest Ln
Ste 102
Garland, TX 75042
Phone (972) 205-1000

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1396964490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 FOREST LN",
            "address_2": "SUITE 102",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426826",
            "telephone_number": "972-205-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 FOREST LN",
            "address_2": "SUITE 102",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426826",
            "telephone_number": "972-205-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OYO BASSEY EYO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "EYO",
        "authorized_official_first_name": "OYO",
        "authorized_official_middle_name": "BASSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-205-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0097030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191580301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191580302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Health Management (DME)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.