Independence Technologies

Primary specialty

Emergency Response System CompaniesTaxonomy code 333300000X

Legal business name

INDEPENDENCE TECHNOLOGIES

Practice address

1725 W Reno St
Broken Arrow, OK 74012-1460

Phone

(918) 249-5065

Fax

(918) 249-5075

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Wayne Pentecost

Title

Managing Member

Phone

(918) 282-6111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1790960474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 W KENOSHA ST",
            "address_2": "SUITE 622",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128952",
            "telephone_number": "918-249-5065",
            "fax_number": "918-249-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W RENO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121460",
            "telephone_number": "918-249-5065",
            "fax_number": "918-249-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "PENTECOST",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-282-6111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Response System Companies in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Emergency Response System Companies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.