Organization Active NPI

Incoba LLC

  • Oxygen Equipment & Supplies (DME)
  • Chesterfield, MO
National Provider Identifier
1497549984
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
INCOBA LLC
Practice address
743 Spirit 40 Park Dr Ste 108
Chesterfield, MO 63005-1121
Phone
(636) 778-1926
NPI assigned
Apr 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Mr. Alonzo C Aylsworth
Title
Ceo/Cto
Phone
(314) 920-2777

Specialties & licenses 1

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

Addresses

Primary practice location

743 Spirit 40 Park Dr Ste 108
Chesterfield, MO 63005-1121

Mailing address

743 Spirit 40 Park Dr Ste 108
Chesterfield, MO 63005-1121
Phone (636) 778-1926

Other names 1

  • Dynaris Doing business as

National Provider Directory

National Provider Directory

Locations

743 Spirit 40 Park Dr
Ste 108
Chesterfield, MO 63005
Phone (636) 778-1926

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1497549984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 SPIRIT 40 PARK DR STE 108",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051121",
            "telephone_number": "636-778-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPIRIT 40 PARK DR STE 108",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051121",
            "telephone_number": "636-778-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCOBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "AYLSWORTH",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/CTO",
        "authorized_official_telephone_number": "314-920-2777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynaris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.