NPIMap

Organization Active NPI

Vitality Wellness

  • Health Service Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1164866737
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
VITALITY WELLNESS
Practice address
5740 NW 135TH St.
Oklahoma City, OK 73142
Phone
(405) 509-3095
Fax
(405) 603-3450
NPI assigned
Apr 25, 2013
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Mr. Ron Nerad
Title
Ceo/Owner
Phone
(405) 509-3095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5740 NW 135TH St.
Oklahoma City, OK 73142

Mailing address

5740 NW 135TH St.
Oklahoma City, OK 73142

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1164866737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 NW 135TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 NW 135TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73142",
            "telephone_number": "405-509-3095",
            "fax_number": "405-603-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "NERAD",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "405-509-3095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 Apr 25, 2013; 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.