Organization Active NPI

Duriable Medical Equipment of Keithville

  • Durable Medical Equipment & Medical Supplies
  • Keithville, LA
National Provider Identifier
1700180205
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DURIABLE MEDICAL EQUIPMENT OF KEITHVILLE
Practice address
11038 Domino Dr
Keithville, LA 71047-8308
Phone
(318) 775-5362
Fax
(318) 775-5362
NPI assigned
Dec 27, 2010
Organization subpart
Yes
Parent organization
K CENTER OF KEITHVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Mr. Office King
Title
Owner/Operator
Phone
(318) 775-5362

Specialties & licenses 1

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

Addresses

Primary practice location

11038 Domino Dr
Keithville, LA 71047-8308

Mailing address

11038 Domino Dr
Keithville, LA 71047-8308
Phone (318) 775-5362

Other names 1

  • K Center of Keithville Former legal business name

National Provider Directory

National Provider Directory
Part of
Duriable Medical Equipment of Keithville

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1700180205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11038 DOMINO DR",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710478308",
            "telephone_number": "318-775-5362",
            "fax_number": "318-775-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11038 DOMINO DR",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710478308",
            "telephone_number": "318-775-5362",
            "fax_number": "318-775-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURIABLE MEDICAL EQUIPMENT OF KEITHVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K CENTER OF KEITHVILLE",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "OFFICE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "318-775-5362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K Center of Keithville",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Keithville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.