American Footcare Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AMERICAN FOOTCARE INC

Practice address

1201 W Main St
Henryetta, OK 74437-4233

Phone

(918) 650-0623

Fax

(918) 650-0837

NPI assigned

Dec 28, 2006

Last updated

Nov 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Wayne Decker Jr., CERTIFIED PEDORTHIST

Title

President

Phone

(918) 650-0623

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1760548663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744370699",
            "telephone_number": "918-650-0623",
            "fax_number": "918-650-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744374233",
            "telephone_number": "918-650-0623",
            "fax_number": "918-650-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FOOTCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-650-0623",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100816010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Quennie Sue Bessinger, LPC UNDER SUP
• Bio Medical Applications of Oklahoma Inc (FMC Henryetta)
• Bio-Medical Applications of Oklahoma, Inc. (Fresenius Medical Care Henryetta)
• Hayden Dean Black, OD

• Durable Medical Equipment & Medical Supplies in Henryetta, OK
• Providers in Henryetta, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.