Incipient Care Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

INCIPIENT CARE INC.

Practice address

776 S. Sara Rd
Tuttle, OK 73089-8648

Phone

(405) 392-3690

Fax

(405) 392-3293

NPI assigned

Dec 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M Dyer

Title

President

Phone

(405) 392-3690

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285796276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 S. SARA RD",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898648",
            "telephone_number": "405-392-3690",
            "fax_number": "405-392-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 S. SARA RD",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898648",
            "telephone_number": "405-392-3690",
            "fax_number": "405-392-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCIPIENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-392-3690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halohealth Mobile Urgent Care
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• Lyle Kent Hinds, D.PH.
• Elisa Huber
• Wayne A Huey, DO
• Brent Jackson
• Timber Laine Jackson, FNP-C
• Thomas Alan Jarvis, D.O.
• Jerry D McCan DDS
• Carl Lee Laffoon, ARNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tuttle, OK
• Providers in Tuttle, OK by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.