Organization Active NPI

Obiako Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • McKinney, TX
National Provider Identifier
1710160304
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0099246 Issued in TX
Legal business name
OBIAKO MEDICAL SUPPLY
Practice address
10504 Colfax Dr
McKinney, TX 75070-2974
Phone
(214) 432-5784
NPI assigned
Dec 6, 2007
Organization subpart
Yes
Parent organization
OBIAKOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Mr. Onye A Udom, MD
Title
President
Phone
(214) 432-5784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0099246 TX Primary

Addresses

Primary practice location

10504 Colfax Dr
McKinney, TX 75070-2974

Mailing address

10504 Colfax Dr
McKinney, TX 75070-2974
Phone (214) 432-5784

Other names 1

  • OBIAKO Doing business as

National Provider Directory

National Provider Directory
Part of
Obiako Medical Supply

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1710160304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 COLFAX DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702974",
            "telephone_number": "214-432-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 COLFAX DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702974",
            "telephone_number": "214-432-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBIAKO MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OBIAKO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "UDOM",
        "authorized_official_first_name": "ONYE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-432-5784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0099246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBIAKO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.