Organization Active NPI

Richard C. Greyson, M.D., a Professional Corporation

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1356650675
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10537 Issued in OK
Legal business name
RICHARD C. GREYSON, M.D., A PROFESSIONAL CORPORATION
Practice address
1110 N Classen Blvd Ste 301
Oklahoma City, OK 73106-6842
Phone
(405) 232-2702
Fax
(405) 272-0839
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Richard C Greyson, M.D.
Title
President
Phone
(405) 232-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10537 OK Primary

Addresses

Primary practice location

1110 N Classen Blvd Ste 301
Oklahoma City, OK 73106-6842

Mailing address

1110 N Classen Blvd Ste 301
Oklahoma City, OK 73106-6842
Phone (405) 232-2702

Other identifiers 1

IdentifierTypeStateIssuer
100111660AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1110 N Classen Blvd
Ste 301
Oklahoma City, OK 73106
Phone (405) 232-2702

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1356650675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N CLASSEN BLVD STE 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066842",
            "telephone_number": "405-232-2702",
            "fax_number": "405-272-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N CLASSEN BLVD STE 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066842",
            "telephone_number": "405-232-2702",
            "fax_number": "405-272-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. GREYSON, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "GREYSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-232-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "10537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111660A",
            "state": "OK"
        }
    ],
    "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 Oct 4, 2010; 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.