Organization Active NPI

Old World DME, Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Bloomfield, MI
National Provider Identifier
1902033525
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OLD WORLD DME, INC.
Practice address
7475 Sheffield
West Bloomfield, MI 48322-2878
Phone
(248) 669-2416
Fax
(248) 671-0922
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Mr. Billy Lee Cooper, M.B.A.
Title
President
Phone
(248) 669-2416

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI Primary
Oxygen Equipment & Supplies (DME) 332BX2000X MI
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

7475 Sheffield
West Bloomfield, MI 48322-2878

Mailing address

7475 Sheffield
West Bloomfield, MI 48322-2878
Phone (248) 669-2416

Other identifiers 3

IdentifierTypeStateIssuer
0F38288OtherBCBS
0F38288OtherMIBCBSM
0F38288OtherMIBCBSM MEDICARE ADVANTAGE BLUE PPO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1902033525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 SHEFFIELD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222878",
            "telephone_number": "248-669-2416",
            "fax_number": "248-671-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 SHEFFIELD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222878",
            "telephone_number": "248-669-2416",
            "fax_number": "248-671-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD WORLD DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-669-2416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F38288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F38288",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM MEDICARE ADVANTAGE BLUE PPO",
            "identifier": "0F38288",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.