Active NPI
Artesian RT Associates
- Radiology Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1235307935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- ARTESIAN RT ASSOCIATES
- Practice address
- 3300 NW 56TH St
Oklahoma City, OK 73112-4538 - Phone
- (405) 488-0700
- Fax
- (405) 488-0701
- NPI assigned
- Feb 15, 2008
- 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
- Mr. Derek M Prentice
- Title
- Managing Member
- Phone
- (405) 418-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
3300 NW 56TH St
Oklahoma City, OK 73112-4538
Mailing address
11101 Hefner Pointe Dr
223
Oklahoma City, OK 73120-5054
Phone (405) 418-2200
Other names 1
- Artesian Cancer Center
National Provider Directory
National Provider DirectoryLocations
11101 Hefner Pointe Dr
Ste 223
Oklahoma City, OK 73120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1235307935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11101 HEFNER POINTE DR",
"address_2": "223",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205054",
"telephone_number": "405-418-2200",
"fax_number": "405-418-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW 56TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124538",
"telephone_number": "405-488-0700",
"fax_number": "405-488-0701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTESIAN RT ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "PRENTICE",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "405-418-2200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Artesian Cancer Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.