Active NPI
Durant Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Durant, OK
National Provider Identifier
1609967751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DURANT MEDICAL SUPPLY, INC.
- Practice address
- 1028 Criswell Dr Ste 102
Durant, OK 74701 - Phone
- (580) 924-0290
- Fax
- (580) 924-0913
- NPI assigned
- Sep 27, 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
- William C Cox Jr.
- Title
- Owner/President
- Phone
- (580) 924-0290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1028 Criswell Dr Ste 102
Durant, OK 74701
Mailing address
1028 Criswell Dr Ste 102
Durant, OK 74701-1059
Phone (580) 924-0290
Other practice location 1
1400 Bryan Drive
Suite 100
Durant, OK 74701
Phone (580) 924-0290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100807580A | Medicaid | OK | |
| 100807580 A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
1028 Criswell Dr
Ste 102
Durant, OK 74701
Phone (580) 920-1400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536624000000",
"number": "1609967751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 CRISWELL DR STE 102",
"city": "DURANT",
"state": "OK",
"postal_code": "747011059",
"telephone_number": "580-924-0290",
"fax_number": "580-924-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 CRISWELL DR STE 102",
"city": "DURANT",
"state": "OK",
"postal_code": "74701",
"telephone_number": "580-924-0290",
"fax_number": "580-924-0913"
}
],
"practiceLocations": [
{
"address_1": "1400 Bryan Drive",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Durant",
"state": "OK",
"postal_code": "74701",
"country_code": "US",
"telephone_number": "580-924-0290",
"fax_number": "580-924-0913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DURANT MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2018-09-11",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "580-924-0290",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100807580A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100807580 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
- Durant Hma Physician Management, LLC
- Durant Hma Physician Management, LLC
- Durant Hma Physician Management, LLC
- Durant Hma Physician Management, LLC
- Durant Hma, Inc.
- Durant Oak Operating Co., LLC
- Durant Physical Therapy & Aquatic Center
- Durant Physical Therapy Inc, PC
- Durant Physical Therapy, Inc
- Durant Public Schools
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.