Organization Active NPI

Ozomor Medical Supplies

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1720306889
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
OZOMOR MEDICAL SUPPLIES
Practice address
4481 W. Reno Ave
Las Vegas, NV 89118
Phone
(702) 629-6845
Fax
(702) 629-5054
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mr. Emmanuel Momate Biabene
Title
Administrator
Phone
(702) 629-6845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X
Oxygen Equipment & Supplies (DME) 332BX2000X NV Primary

Addresses

Primary practice location

4481 W. Reno Ave
Las Vegas, NV 89118

Mailing address

4481 W. Reno Ave
Las Vegas, NV 89118
Phone (702) 629-6845

Other identifiers 1

IdentifierTypeStateIssuer
1720306889MedicaidNV

National Provider Directory

National Provider Directory

Locations

4481 W Reno Ave
Las Vegas, NV 89118
Phone (702) 629-6845

1729 E Charleston Blvd
Ste C
Las Vegas, NV 89104
Phone (702) 629-6845

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1720306889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 W. RENO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-629-6845",
            "fax_number": "702-629-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 W. RENO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-629-6845",
            "fax_number": "702-629-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZOMOR MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "BIABENE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "MOMATE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-629-6845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720306889",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.