Active NPI
Valir Health LLC
- Medical Specialty Clinic/Center
- Shawnee, OK
National Provider Identifier
1124028675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 7648
- Legal business name
- VALIR HEALTH LLC
- Practice address
- 3700 N Kickapoo Ave
Shawnee, OK 74804-1707 - Phone
- (405) 214-9808
- Fax
- (405) 214-9389
- NPI assigned
- Jul 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kitt Wakeley
- Title
- Owner/Partner
- Phone
- (405) 609-3641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 7648 | OK | Primary |
Addresses
Primary practice location
3700 N Kickapoo Ave
Shawnee, OK 74804-1707
Mailing address
825 N Broadway Ave
Suite #400
Oklahoma City, OK 73102-6012
Phone (405) 609-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100745870B | Medicaid | OK |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
- NPI 1083183883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243987200000",
"number": "1124028675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N BROADWAY AVE",
"address_2": "SUITE #400",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731026012",
"telephone_number": "405-609-3600",
"fax_number": "405-605-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N KICKAPOO AVE",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041707",
"telephone_number": "405-214-9808",
"fax_number": "405-214-9389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALIR HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-27",
"last_updated": "2009-06-03",
"status": "A",
"authorized_official_last_name": "WAKELEY",
"authorized_official_first_name": "KITT",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "405-609-3641",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OK",
"license": "7648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100745870B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.