NPIMap

Organization Active NPI

Choice Medical Billing and Supply, Inc

  • Oxygen Equipment & Supplies (DME)
  • Rogers, AR
National Provider Identifier
1730147463
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
MG00474 Issued in AR
Legal business name
CHOICE MEDICAL BILLING AND SUPPLY, INC
Practice address
111 S Dixieland Rd
Rogers, AR 72758-4021
Phone
(479) 636-6510
Fax
(479) 636-6597
NPI assigned
May 3, 2006
Organization subpart
Yes
Parent organization
CHOICE MEDICAL BILLING AND SUPPLY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Ms. Betty J Clement
Title
Ceo
Phone
(479) 531-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X MG00474 AR Primary

Addresses

Primary practice location

111 S Dixieland Rd
Rogers, AR 72758-4021

Mailing address

111 S Dixieland Rd
Rogers, AR 72758-4021
Phone (479) 636-6510

Other identifiers 2

IdentifierTypeStateIssuer
47349OtherARBLUE CROSS/BLUE SHIELD
626095301MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Choice Medical Billing Supply Inc4 organizations share this tax ID, including this one
Part of
Choice Medical Billing Supply Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1730147463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584021",
            "telephone_number": "479-636-6510",
            "fax_number": "479-636-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584021",
            "telephone_number": "479-636-6510",
            "fax_number": "479-636-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE MEDICAL BILLING AND SUPPLY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICE MEDICAL BILLING AND SUPPLY, INC",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-531-6222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "MG00474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "47349",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626095301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.