Active NPI
Clinical Oxygen Providers of Dayton, LLC
- Oxygen Equipment & Supplies (DME)
- Troy, OH
National Provider Identifier
1609939248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 22266
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2371348 | Medicaid | OH |
Other names 1
- PRO2 Respiratory Services
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Cincinnati, OH
- NPI 1376578948
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Cincinnati, OH
- NPI 1376578948
Member Of
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.