CMS-1500 Box 24J / 33a • NPI
1710866165
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2279P1004X
Licensed & Credentialed Respiratory Therapist, Registered, Pulmonary Diagnostics
Box 32 Service Location & ZIP+4
601 E BROADWAY ST, CUSHING, OK, 74023-3432
✓ 9-Digit EDI 837 ZIP+4 (74023-3432)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1710866165 (CLIFFORD DOSS, RRT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1710866165 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CLIFFORD DOSS, RRT |
| Plain-English Specialty | Licensed & Credentialed Respiratory Therapist, Registered, Pulmonary Diagnostics NUCC Code: 2279P1004X (Respiratory Therapist, Registered, Pulmonary Diagnostics) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 601 E BROADWAY ST, CUSHING, OK, 74023-3432 |
| Practice Telephone / Fax | Tel: (479) 965-6219 |
| Administrative Mailing Address | 601 E BROADWAY ST, CUSHING, OK, 74023-3432 |
| Enumeration & Last Sync | Enumerated: 2025-08-29 | CMS Record Updated: 2025-08-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2279P1004X)
What Does Taxonomy Code 2279P1004X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2279P1004X translates to:
"Licensed & Credentialed Respiratory Therapist, Registered, Pulmonary Diagnostics"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CLIFFORD DOSS, RRT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2279E1000X — Respiratory Therapist, Registered, EducationalPlain English: Licensed & Credentialed Respiratory Therapist, Registered, Educational | State: OK | License: 4691 | Primary: Secondary |
2279P1006X — Respiratory Therapist, Registered, Pulmonary Function TechnologistPlain English: Licensed & Credentialed Respiratory Therapist, Registered, Pulmonary Function Technologist | State: OK | License: 4691 | Primary: Secondary |
2279P1004X — Respiratory Therapist, Registered, Pulmonary DiagnosticsPlain English: Licensed & Credentialed Respiratory Therapist, Registered, Pulmonary Diagnostics | State: OK | License: 4691 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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