Active NPI
Triad Complete Healthcare Z16 LLC
- Family Medicine Physician
- Ponca City, OK
National Provider Identifier
1144014176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRIAD COMPLETE HEALTHCARE Z16 LLC
- Practice address
- 2703 N 14TH St
Ponca City, OK 74601-1738 - Phone
- (580) 749-7846
- NPI assigned
- Apr 7, 2025
- 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
- Matthew Bintz
- Title
- President
- Phone
- (970) 270-7929
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2703 N 14TH St
Ponca City, OK 74601-1738
Mailing address
2703 N 14TH St
Ponca City, OK 74601-1738
Phone (580) 749-7846
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1144014176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 N 14TH ST",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011738",
"telephone_number": "580-749-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 N 14TH ST",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011738",
"telephone_number": "580-749-7846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIAD COMPLETE HEALTHCARE Z16 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-06",
"status": "A",
"authorized_official_last_name": "BINTZ",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-270-7929"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.