Century Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

897705 Issued in OK

Legal business name

CENTURY MEDICAL LLC

Doing business as

Healthy Foot Center

Practice address

3601 S Broadway Ste 500
Edmond, OK 73013-4140

Phone

(405) 286-1100

Fax

(405) 286-6207

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kelly Allen West, C. PED, CRT

Title

Pres Ceo

Phone

(405) 286-1100

Specialties & licenses 1

Addresses

Other names 1

• Healthy Foot Center Doing business as

Locations

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1649463704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S BROADWAY STE 500",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134140",
            "telephone_number": "405-286-1100",
            "fax_number": "405-286-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S BROADWAY STE 500",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134140",
            "telephone_number": "405-286-1100",
            "fax_number": "405-286-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "405-286-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C. PED, CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "897705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Edmond, OK
• Providers in Edmond, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.