Active NPI
Rick Dwiggins, NP
- Gerontology Nurse Practitioner
- Edmond, OK
National Provider Identifier
1235223769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R0029184
- Practice address
- 2520 South Rankin
Edmond, OK 73013 - Phone
- (405) 341-1433
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R0029184 | OK | Primary |
Addresses
Primary practice location
2520 South Rankin
Edmond, OK 73013
Mailing address
4350 Will Rogers Pkwy
Suite 600
Oklahoma City, OK 73108
Phone (405) 943-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabsource-Therapy at Work, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1073777991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1235223769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 WILL ROGERS PKWY",
"address_2": "SUITE 600",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73108",
"telephone_number": "405-943-1144",
"fax_number": "405-943-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 SOUTH RANKIN",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-341-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWIGGINS",
"first_name": "RICK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "R0029184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.