Active NPI
Blue Dot Medical, Inc
- Oxygen Equipment & Supplies (DME)
- Mendenhall, MS
National Provider Identifier
1750748547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 05646/11.1
- Legal business name
- BLUE DOT MEDICAL, INC
- Practice address
- 1827D Simpson Highway 149
Mendenhall, MS 39114-3439 - Phone
- (601) 968-0981
- Fax
- (601) 968-0983
- NPI assigned
- Jan 25, 2016
- Last updated
- Jan 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L Morgan
- Title
- President
- Phone
- (601) 968-0981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 05646/11.1 | MS | Primary |
Addresses
Primary practice location
1827D Simpson Highway 149
Mendenhall, MS 39114-3439
Mailing address
2301 Lakeland Dr
Flowood, MS 39232-9549
Phone (601) 968-0981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440981 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
2301 Lakeland Dr
Flowood, MS 39232
Phone (601) 968-0981
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1649324914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453680000000",
"number": "1750748547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329549",
"telephone_number": "601-968-0981",
"fax_number": "601-968-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827D SIMPSON HIGHWAY 149",
"city": "MENDENHALL",
"state": "MS",
"postal_code": "391143439",
"telephone_number": "601-968-0981",
"fax_number": "601-968-0983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE DOT MEDICAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-968-0981"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": "05646/11.1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "440981",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mendenhall, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.