Organization Active NPI

O2 DME Durable Equipment & Supply LLC

  • Oxygen Equipment & Supplies (DME)
  • Rio Grande City, TX
National Provider Identifier
1669794467
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
O2 DME DURABLE EQUIPMENT & SUPPLY LLC
Practice address
103 Kain St Unit 1
Rio Grande City, TX 78582-6667
Phone
(956) 263-1630
Fax
(956) 263-1602
NPI assigned
Feb 19, 2010
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Marivel Perez
Title
Office Manager
Phone
(956) 263-1630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X TX
Oxygen Equipment & Supplies (DME) 332BX2000X TX Primary

Addresses

Primary practice location

103 Kain St Unit 1
Rio Grande City, TX 78582-6667

Mailing address

103 S Kain St Unit 1
Rio Grande City, TX 78582-4221
Phone (956) 263-1630

Other identifiers 2

IdentifierTypeStateIssuer
214149102MedicaidTX
214149101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1669794467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S KAIN ST UNIT 1",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824221",
            "telephone_number": "956-263-1630",
            "fax_number": "956-263-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 KAIN ST UNIT 1",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826667",
            "telephone_number": "956-263-1630",
            "fax_number": "956-263-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O2 DME DURABLE EQUIPMENT & SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIVEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-263-1630"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214149102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214149101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.