Organization Active NPI

Clinical Oxygen Providers of Dayton, LLC

  • Oxygen Equipment & Supplies (DME)
  • Troy, OH
National Provider Identifier
1609939248
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
22266 Issued in OH
Legal business name
CLINICAL OXYGEN PROVIDERS OF DAYTON, LLC
Practice address
532 Grant St
Troy, OH 45373-3124
Phone
(937) 339-7702
Fax
(937) 339-7705
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Michael D. Moore
Title
Manager
Phone
(513) 842-6804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 22266 OH Primary

Addresses

Primary practice location

532 Grant St
Troy, OH 45373-3124

Mailing address

532 Grant St
Troy, OH 45373-3124
Phone (937) 339-7702

Other identifiers 1

IdentifierTypeStateIssuer
2371348MedicaidOH

Other names 1

  • PRO2 Respiratory Services Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1609939248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 GRANT ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733124",
            "telephone_number": "937-339-7702",
            "fax_number": "937-339-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 GRANT ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733124",
            "telephone_number": "937-339-7702",
            "fax_number": "937-339-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL OXYGEN PROVIDERS OF DAYTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-842-6804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "22266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2371348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO2 Respiratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.