Organization Active NPI

Fresh Air Respiratory Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Gastonia, NC
National Provider Identifier
1457375933
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
01161 Issued in NC
Legal business name
FRESH AIR RESPIRATORY CARE, INC.
Practice address
645 Cox Rd
Suite C
Gastonia, NC 28054-0648
Phone
(704) 868-8881
Fax
(704) 868-8882
NPI assigned
Jul 27, 2006
Last updated
Jun 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Mr. Gary Randall Lott, RRT, RCP
Title
President
Phone
(704) 868-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 01161 NC Primary

Addresses

Primary practice location

645 Cox Rd
Suite C
Gastonia, NC 28054-0648

Mailing address

645 Cox Rd
Suite C
Gastonia, NC 28054-0648
Phone (704) 868-8881

Other identifiers 1

IdentifierTypeStateIssuer
7704540MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1457375933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 COX RD",
            "address_2": "SUITE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540648",
            "telephone_number": "704-868-8881",
            "fax_number": "704-868-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 COX RD",
            "address_2": "SUITE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540648",
            "telephone_number": "704-868-8881",
            "fax_number": "704-868-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH AIR RESPIRATORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-868-8881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT, RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "01161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704540",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.