Active NPI
Johnathan Culver
- Recovery Care Clinic/Center
- Vinita, OK
National Provider Identifier
1245983881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recovery Care Clinic/Center
- Practice address
- 405 E Excelsior Ave
Vinita, OK 74301-4226 - Phone
- (918) 256-6476
- NPI assigned
- Feb 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | OK | Primary |
Addresses
Primary practice location
405 E Excelsior Ave
Vinita, OK 74301-4226
Mailing address
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone (918) 801-3955
Other practice location 1
37932 County Road 555
Eucha, OK 74342-3266
Phone (918) 801-3955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9JIC | Other | OK | 9JIC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Glmhc | Health Information Exchange (HIE) |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1245983881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 E EXCELSIOR AVE",
"city": "VINITA",
"state": "OK",
"postal_code": "743014226",
"telephone_number": "918-801-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 E EXCELSIOR AVE",
"city": "VINITA",
"state": "OK",
"postal_code": "743014226",
"telephone_number": "918-256-6476"
}
],
"practiceLocations": [
{
"address_1": "37932 County Road 555",
"address_purpose": "LOCATION",
"city": "Eucha",
"state": "OK",
"postal_code": "743423266",
"country_code": "US",
"telephone_number": "918-801-3955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULVER",
"first_name": "JOHNATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "9JIC",
"identifier": "9JIC",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Glmhc",
"affiliation": "N",
"endpointDescription": "Metal health clinic",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "405 E Excelsior Ave",
"city": "Vinita",
"state": "OK",
"country_code": "US",
"postal_code": "743014226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.