Organization Active NPI

Cosmocomet.LLC

  • Clinic/Center
  • Claremore, OK
National Provider Identifier
1083850010
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3245 Issued in OK
Legal business name
COSMOCOMET.LLC
Practice address
1222 N Florence Ave
Claremore, OK 74017-3147
Phone
(918) 342-2528
Fax
(918) 342-2538
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Mr. Mark Habeck
Title
Business Manager
Phone
(918) 342-2528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3245 OK Primary

Addresses

Primary practice location

1222 N Florence Ave
Claremore, OK 74017-3147

Mailing address

1222 N Florence Ave
Claremore, OK 74017-3147
Phone (918) 342-2528

Other identifiers 1

IdentifierTypeStateIssuer
1538151246OtherOKINDIVIDUAL NPI

Other names 1

  • Dr. Robin Western D.O. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1083850010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173147",
            "telephone_number": "918-342-2528",
            "fax_number": "918-342-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173147",
            "telephone_number": "918-342-2528",
            "fax_number": "918-342-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOCOMET.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "HABECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "918-342-2528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "3245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1538151246",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Robin Western D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.