JACK JUSTICE
JACK JUSTICE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1013074111, based in Pauls Valley, OK. The organization lists 3 taxonomy classifications, with Oxygen Equipment & Supplies (DME) recorded as primary.
Getting there
The practice address on file is 110 BURR AVE, Pauls Valley, OK 73075. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 223755 | OK | Oxygen Equipment & Supplies (DME) primary |
| 223755 | OK | Durable Medical Equipment & Medical… |
| 223755 | OK | Parenteral & Enteral Nutrition Supplies… |
This provider holds licence 223755 issued in OK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Pharmacy
- PAC ID
- 9739181348
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Pharmacy. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Oxygen Equipment & Supplies covers
Definition to come... NUCC Health Care Provider Taxonomy, code 332BX2000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 332BX2000X | Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | 223755 | OK | primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 223755 | OK | |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) Parenteral & Enteral Nutrition | 223755 | OK |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1013074111 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 2, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
110 BURR AVE Pauls Valley, OK 73075 (405) 238-7391 Fax (405) 238-1162 |
| Other identifiers |
100235750B
(OK) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 1 | 3 | 0 | 7 | 4 | 1 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 2 | 3 | 0 | 7 | 8 | 1 | 2 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.