Ok Theta & Wellness

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

OK THETA & WELLNESS

Practice address

6410 N Santa Fe Ave Ste C
Oklahoma City, OK 73116-9127

Phone

(405) 607-9227

NPI assigned

Apr 3, 2025

Organization subpart

No

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

Authorized official

Name

Deana Glenn, NPNPI 1710366471

Title

Owner

Phone

(405) 607-9227

Specialties & licenses 1

Addresses

Other names 1

• OK Theta & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deana Glenn

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1710366471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1013711548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 N SANTA FE AVE STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169127",
            "telephone_number": "405-607-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 N SANTA FE AVE STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169127",
            "telephone_number": "405-607-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK THETA & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-607-9227",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OK Theta & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OK Theta & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Multi-Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.