Organization Active NPI

Kight'S Medical Corp

  • Oxygen Equipment & Supplies (DME)
  • Morrisville, NC
National Provider Identifier
1457315418
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
05612 Issued in NC
Legal business name
KIGHT'S MEDICAL CORP
Practice address
201 Kitty Hawk Dr
Suite 95
Morrisville, NC 27560-7659
Phone
(919) 878-6666
Fax
(919) 878-4411
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Mr. John A Kight, RPH
Title
Ceo and President
Phone
(919) 878-6666

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00562 NC
Oxygen Equipment & Supplies (DME) 332BX2000X 05612 NC Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 01023 NC
Oxygen Equipment & Supplies (DME) 332BX2000X 0206009179 VA

Addresses

Primary practice location

201 Kitty Hawk Dr
Suite 95
Morrisville, NC 27560-7659

Mailing address

201 Kitty Hawk Dr
Suite 95
Morrisville, NC 27560-7659
Phone (919) 878-6666

Other identifiers 6

IdentifierTypeStateIssuer
0303780332OtherNCDEPT OF LABOR
009111361MedicaidVA
0464TOtherNCBCBS OF NC
15527OtherNCWELLPATH
7701287MedicaidNC
DE2019MedicaidSC

National Provider Directory

National Provider Directory

Locations

201 Kitty Hawk Dr
Ste 95
Morrisville, NC 27560
Phone (919) 521-4613

7711 Welborn St
Ste 106
Raleigh, NC 27615
Phone (919) 878-6666

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1457315418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KITTY HAWK DR",
            "address_2": "SUITE 95",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607659",
            "telephone_number": "919-878-6666",
            "fax_number": "919-878-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KITTY HAWK DR",
            "address_2": "SUITE 95",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607659",
            "telephone_number": "919-878-6666",
            "fax_number": "919-878-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIGHT'S MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "KIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "919-878-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00562",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "05612",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "01023",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "VA",
            "license": "0206009179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "0303780332",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009111361",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0464T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "15527",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701287",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2019",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.