Organization Active NPI

Direct Respiratory Services

  • Durable Medical Equipment & Medical Supplies
  • Eden, NC
National Provider Identifier
1619930666
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01008 Issued in NC
Legal business name
DIRECT RESPIRATORY SERVICES
Practice address
302A North Pierce Street
Eden, NC 27288
Phone
(336) 627-0061
Fax
(336) 627-7003
NPI assigned
Apr 10, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mrs. Susan Griffin Vernon
Title
Owner Partner
Phone
(336) 627-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01008 NC Primary

Addresses

Primary practice location

302A North Pierce Street
Eden, NC 27288

Mailing address

302A North Pierce Street
Eden, NC 27288
Phone (336) 627-0061

Other identifiers 1

IdentifierTypeStateIssuer
7704270MedicaidNC

National Provider Directory

National Provider Directory

Locations

302 N Pierce St
Ste A
Eden, NC 27288
Phone (336) 627-0061

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1619930666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302A NORTH PIERCE STREET",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "27288",
            "telephone_number": "336-627-0061",
            "fax_number": "336-627-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302A NORTH PIERCE STREET",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "27288",
            "telephone_number": "336-627-0061",
            "fax_number": "336-627-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT RESPIRATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GRIFFIN",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "336-627-0061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704270",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.