Active NPI
Vitality Wellness
- Health Service Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1164866737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
- Organization subpart
- Yes
- Parent organization
- A
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.