Organization Active NPI

Kight'S Medical Corp

  • Oxygen Equipment & Supplies (DME)
  • Wilmington, NC
National Provider Identifier
1962526095
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
01023 Issued in NC
Legal business name
KIGHT'S MEDICAL CORP
Practice address
2104 Capital Dr
Ste. 109
Wilmington, NC 28405-6486
Phone
(800) 445-3022
Fax
(910) 395-5951
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Mr. John A Kight, RPH
Title
Ceo and President
Phone
(919) 878-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 01023 NC Primary

Addresses

Primary practice location

2104 Capital Dr
Ste. 109
Wilmington, NC 28405-6486

Mailing address

201 Kitty Hawk Dr
Ste. 95
Morrisville, NC 27560-7659
Phone (919) 878-6666

Other identifiers 4

IdentifierTypeStateIssuer
0464TOtherNCBCBS OF NC
15527OtherNCWELLPATH
7704737MedicaidNC
0303780332OtherNCDEPT. OF LABOR

National Provider Directory

National Provider Directory

Locations

2104 Capital Dr
Ste 109
Wilmington, NC 28405
Phone (800) 445-3022

1244 Executive Blvd
Ste A111
Chesapeake, VA 23320
Phone (757) 312-9825

901 Port Centre Pkwy
Ste 8
Portsmouth, VA 23704
Phone (757) 392-3670

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1962526095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KITTY HAWK DR",
            "address_2": "STE. 95",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607659",
            "telephone_number": "919-878-6666",
            "fax_number": "919-878-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 CAPITAL DR",
            "address_2": "STE. 109",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056486",
            "telephone_number": "800-445-3022",
            "fax_number": "910-395-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIGHT'S MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "KIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "919-878-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "01023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0464T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "15527",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704737",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "0303780332",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.