Organization Active NPI

Hefner Pet Associates LLC

  • Radiology Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1245403740
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HEFNER PET ASSOCIATES LLC
Practice address
3400 W Hefner Rd
Oklahoma City, OK 73120
Phone
(405) 418-0900
Fax
(405) 418-0901
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Mr. Derek Prentice
Title
Managing Member
Phone
(405) 418-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3400 W Hefner Rd
Oklahoma City, OK 73120

Mailing address

11101 Hefner Pointe Dr
#222
Oklahoma City, OK 73120-5054
Phone (405) 418-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1245403740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR",
            "address_2": "#222",
            "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": "3400 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-418-0900",
            "fax_number": "405-418-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFNER PET ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "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": []
}

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 11, 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.

Verify at the official NPI Registry.