Provider Demographics
NPI:1073841094
Name:CPAP SPECIALISTS LLC
Entity Type:Organization
Organization Name:CPAP SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:405-722-0498
Mailing Address - Street 1:3535 NW 58TH ST
Mailing Address - Street 2:STE 485
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4804
Mailing Address - Country:US
Mailing Address - Phone:405-942-0707
Mailing Address - Fax:405-942-0717
Practice Address - Street 1:3535 NW 58TH ST
Practice Address - Street 2:STE 485
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4804
Practice Address - Country:US
Practice Address - Phone:405-942-0707
Practice Address - Fax:405-942-0717
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CPAP SPECIALISTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-02
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK6066010002Medicare NSC