NPIMap

Organization Active NPI

Careatc

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1063288231
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREATC
Practice address
4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891
Phone
(918) 779-7475
NPI assigned
Nov 29, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kelly Bender
Title
Director, Product & Data Management
Phone
(918) 779-7475

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Indiana Packers Health Center (117 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891

Mailing address

4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2023.

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1063288231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891",
            "telephone_number": "918-779-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR, PRODUCT & DATA MANAGEMENT",
        "authorized_official_telephone_number": "918-779-7475"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.