Diabetic Care of Oklahoma

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DIABETIC CARE OF OKLAHOMA

Practice address

516 W California Ave
Oklahoma City, OK 73102-2443

Phone

(405) 602-3000

NPI assigned

Mar 6, 2007

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. Jim Brewer

Title

Owner

Phone

(405) 401-8000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356471940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W CALIFORNIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022443",
            "telephone_number": "405-602-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W CALIFORNIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022443",
            "telephone_number": "405-602-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC CARE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-401-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawndeep Dhaliwal, MD
• Sundeep Dhaliwal, MD
• Japneet Singh Dhami, MD
• Krishna Hari Dhanyamraju, DO
• Michael G Di Gregorio, DPM
• Diabetic Foot and Wound Center of Okfas
• Melissa Diacon
• Diagnostic Health Corporation (Healthsouth Medical Imaging Center of Oklahoma)
• Diagnostic Imaging Group
• Diagnostic Imaging Solutions

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist 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.