Active NPI
Isaiah Vincent Oglesby Jr.
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
National Provider Identifier
1750521894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 4915 Waters Edge Dr Ste 290
Raleigh, NC 27606-2393 - Phone
- (919) 324-4084
- NPI assigned
- Mar 3, 2009
- Last updated
- Mar 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
4915 Waters Edge Dr Ste 290
Raleigh, NC 27606-2393
Mailing address
4116 Breadfruit CT
Raleigh, NC 27616-8954
Phone (919) 324-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1750521894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 BREADFRUIT CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168954",
"telephone_number": "919-324-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 WATERS EDGE DR STE 290",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062393",
"telephone_number": "919-324-4084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLESBY",
"first_name": "ISAIAH",
"middle_name": "VINCENT",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.