Organization Active NPI

Blue Dot Medical, Inc

  • Oxygen Equipment & Supplies (DME)
  • Mendenhall, MS
National Provider Identifier
1750748547
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
05646/11.1 Issued in MS
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
440981MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.