Active NPI
Joe Brett Wells, CRT
- Oxygen Equipment & Supplies (DME)
- Guymon, OK
National Provider Identifier
1912002684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 16-02033
- Practice address
- 301 NE 4TH St
Guymon, OK 73942-4838 - Phone
- (580) 338-4012
- Fax
- (580) 338-4017
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 16-02033 | KS | Primary |
Addresses
Primary practice location
301 NE 4TH St
Guymon, OK 73942-4838
Mailing address
301 NE 4TH St
Guymon, OK 73942-4838
Phone (580) 338-4012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-02033 | KS | MD | Oxygen Equipment & Supplies (DME) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912002684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 NE 4TH ST",
"city": "GUYMON",
"state": "OK",
"postal_code": "739424838",
"telephone_number": "580-338-4012",
"fax_number": "580-338-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NE 4TH ST",
"city": "GUYMON",
"state": "OK",
"postal_code": "739424838",
"telephone_number": "580-338-4012",
"fax_number": "580-338-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JOE",
"middle_name": "BRETT",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "KS",
"license": "16-02033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guymon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.