Individual provider Active NPI

Jason Carl Drennan

  • Technician
  • Oklahoma City, OK
National Provider Identifier
1356004147
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
1501 NE 11TH St
Oklahoma City, OK 73117-2605
Phone
(405) 230-1158
Fax
(405) 424-1198
NPI assigned
Oct 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X OK Primary

Addresses

Primary practice location

1501 NE 11TH St
Oklahoma City, OK 73117-2605

Mailing address

1501 NE 11TH St
Oklahoma City, OK 73117-2605
Phone (405) 230-1158

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvalleroy@catalystok.org Direct

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1356004147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NE 11TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731172605",
            "telephone_number": "405-230-1158",
            "fax_number": "405-424-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NE 11TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731172605",
            "telephone_number": "405-230-1158",
            "fax_number": "405-424-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNAN",
        "first_name": "JASON",
        "middle_name": "CARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvalleroy@catalystok.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "1501 NE 11th OKC, OK. 73117",
            "address_1": "1501 NE 11th St",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731172605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 19, 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.

Verify at the official NPI Registry.