Organization Active NPI

Valir Health LLC

  • Medical Specialty Clinic/Center
  • Shawnee, OK
National Provider Identifier
1124028675
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
7648 Issued in OK
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

Updated by the provider on Jun 3, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100745870BMedicaidOK

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.