Organization Active NPI

Durant Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Durant, OK
National Provider Identifier
1609967751
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 11, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100807580AMedicaidOK
100807580 AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.