Active NPI
MMS Oklahoma City Inc
- Durable Medical Equipment & Medical Supplies
- Oklahoma City, OK
National Provider Identifier
1689600736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MMS OKLAHOMA CITY INC
- Practice address
- 415 W Wilshire Blvd
Ste. a
Oklahoma City, OK 73116-7702 - Phone
- (405) 840-5272
- Fax
- (405) 840-5274
- NPI assigned
- Jun 23, 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
- Richard Cudd
- Title
- Owner
- Phone
- (405) 763-8222
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 1-S-802 | OK |
Addresses
Primary practice location
415 W Wilshire Blvd
Ste. a
Oklahoma City, OK 73116-7702
Mailing address
415 W Wilshire Blvd
Ste. a
Oklahoma City, OK 73116-7702
Phone (405) 840-5272
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100685610C | Medicaid | OK | |
| 100685610A | Other | OK | DDSD |
| 80806 | Other | OK | NORTHWOOD |
Other names 1
- Majors Medical Supply
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002953 | OK | DME Supplier - Medical Supply Company | 7416078407 | Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1689600736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W WILSHIRE BLVD",
"address_2": "STE. A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167702",
"telephone_number": "405-840-5272",
"fax_number": "405-840-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W WILSHIRE BLVD",
"address_2": "STE. A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167702",
"telephone_number": "405-840-5272",
"fax_number": "405-840-5274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMS OKLAHOMA CITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "CUDD",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-763-8222"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "OK",
"license": "1-S-802",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100685610C",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDSD",
"identifier": "100685610A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWOOD",
"identifier": "80806",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Majors Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.