Organization Active NPI

Fiorella Avant DO PLLC

  • Pain Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1144643024
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
5059 Issued in OK
Legal business name
FIORELLA AVANT DO PLLC
Practice address
401 SW 80TH St
BLDG D, Suite 101
Oklahoma City, OK 73139-8122
Phone
(405) 601-4227
Fax
(405) 601-4237
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Cheri L Moore
Title
Credentialing Coordinator
Phone
(405) 775-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 5059 OK Primary

Addresses

Primary practice location

401 SW 80TH St
BLDG D, Suite 101
Oklahoma City, OK 73139-8122

Mailing address

4131 NW 122ND St
Oklahoma City, OK 73120-8869
Phone (405) 775-9350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1144643024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 NW 122ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208869",
            "telephone_number": "405-775-9350",
            "fax_number": "405-775-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST",
            "address_2": "BLDG D, SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398122",
            "telephone_number": "405-601-4227",
            "fax_number": "405-601-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIORELLA AVANT DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "405-775-9350"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.