Organization Active NPI

Klemmyjb

  • Durable Medical Equipment & Medical Supplies
  • Little Elm, TX
National Provider Identifier
1912430471
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KLEMMYJB
Practice address
1421 Whitewater Dr
Little Elm, TX 75068-7331
Phone
(214) 909-3378
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Clement Ojo, M.D
Title
Managing Director
Phone
(214) 909-3378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1421 Whitewater Dr
Little Elm, TX 75068-7331

Mailing address

1421 Whitewater Dr
Little Elm, TX 75068-7331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1912430471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WHITEWATER DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750687331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WHITEWATER DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750687331",
            "telephone_number": "214-909-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEMMYJB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "214-909-3378",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.